Individual
ANDRES ADALBETO AGUILAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
3545 LANCASTER DR NE, SALEM, OR 97305-1435
(503) 371-9897
Mailing address
3545 LANCASTER DR NE, SALEM, OR 97305-1435
(503) 371-9897
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10182265
OR
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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