Preventive Dental LLC
Dental Hygienist in Corvallis, OR. Organization (NPI-2).
NPI number1447553409
StatusActive
Last updated in NPPESDec 14, 2010
Details
- NPI
- 1447553409
- Entity type
- Organization (NPI-2)
- Legal business name
- Preventive Dental LLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2010
- Last updated
- Dec 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H3040 | OR | Yes |
Practice location
1610 Nw Menlo DrCorvallis, OR 97330-2055
Phone 541-231-3212
Mailing address
1610 Nw Menlo DrCorvallis, OR 97330-2055
Phone 541-231-3212
Authorized official
Zina Burt
Dental Hygienist
5412313212
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All 14 Dental Hygienist providers in Corvallis · All 4,542 providers in Corvallis
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