Individual
CLARISSA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-7487
Mailing address
891 PLAYER DR N, KEIZER, OR 97303-7468
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1593
OR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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