Individual
CRYSTAL AILANA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
13000 SW 2ND ST, BEAVERTON, OR 97005-2615
(503) 259-5045
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8332
OR
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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