Individual
JOY M IMHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
Mailing address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
B932755
OR
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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