Individual
CAROL A. POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, LAP
Contact information
Practice address
1050 ECHO DR, ROSEBURG, OR 97470-8478
(541) 530-1354
(541) 677-8117
Mailing address
1050 ECHO DR, ROSEBURG, OR 97470-8478
(541) 530-1354
(541) 677-8117
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3101
OR
Other
Enumeration date
06/12/2006
Last updated
06/23/2011
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