KRISTINE S. BAHNG

BEAVERTON, OR
NPI1992918361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT - DO- 1005743)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- KRISTINE S. BAHNG LD
13751 SW FARMINGTON RD
BEAVERTON, OR 97005-2603
Phone number: 503-502-9108
Mailing Address
-- KRISTINE S. BAHNG LD
13751 SW FARMINGTON RD
BEAVERTON, OR 97005-2603
Phone number: 503-502-9108
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