KARLA LOIS PRESTON WILFONG

ROSEBURG, OR
NPI1992355077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4521)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
KARLA LOIS PRESTON WILFONG EPDH
1600 GARDEN VALLEY BLVD
ROSEBURG, OR 97471-8700
Phone number: 541-677-4818
Mailing Address
KARLA LOIS PRESTON WILFONG EPDH
188 LUPINE LN
ROSEBURG, OR 97471-8507
Phone number: 541-580-7244