Svetlana Stefanovich
Dental Hygienist in Salem, OR. Individual provider (NPI-1).
NPI number1164065280
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1164065280
- Entity type
- Individual (NPI-1)
- Name
- Svetlana Stefanovich
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2019
- Last updated
- Oct 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H7641 | OR | Yes |
Practice location
631 Jason St Ne Ste 150Salem, OR 97301-2357
Phone 503-364-3004
Mailing address
4616 Horseshoe Ct SeSalem, OR 97317-5593
Phone 503-510-6712
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