Individual
MISS RAMONA ANN WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-4900
Mailing address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-4900
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
112756
OR
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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