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Individual

BENIAMIN MURESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13831 NW CORNELL RD STE C, PORTLAND, OR 97229-5465
(503) 718-3762
Mailing address
953 NE PACIFIC DR, FAIRVIEW, OR 97024-3793
(503) 975-7258

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5945
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H5945
DENTAL HYGIENE LICENSE
OR
Enumeration date
08/16/2018
Last updated
08/16/2018
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