Individual
MRS. KATHINA JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H., A.S.
Contact information
Practice address
1896 NE LUCY BELLE ST, MCMINNVILLE, OR 97128-9259
(503) 435-9542
Mailing address
1896 NE LUCY BELLE ST, MCMINNVILLE, OR 97128-9259
(503) 435-9542
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6511
OR
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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