Individual
DR. SUSAN JANE ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 259-3160
(503) 259-3169
Mailing address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 259-3160
(503) 259-3169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6943
OR
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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