Individual
INGRID MARIKA VILJAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
819 NE BAKER ST, MCMINNVILLE, OR 97128
(503) 472-7900
(503) 474-1819
Mailing address
819 NE BAKER ST, MCMINNVILLE, OR 97128
(503) 472-7900
(503) 474-1819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
032627
CA
122300000X
Dentist
Primary
D6999
OR
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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