Individual
DR. PETRINA SUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14654 SE SUNNYSIDE RD, HAPPY VALLEY, OR 97015-6401
(503) 658-6588
(503) 658-5184
Mailing address
16566 SE MAIN ST, PORTLAND, OR 97233-4045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8306
OR
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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