Individual
DR. BONNIE J MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
433 30TH ST, ASTORIA, OR 97103-2807
(503) 338-6000
(503) 338-6600
Mailing address
433 30TH ST, ASTORIA, OR 97103-2807
(503) 338-6000
(503) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9297
OR
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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