Individual
MISS JESSICA MARIE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37125 TENNESSEE SCHOOL DR., LEBANON, OR 97355-9638
(503) 930-8821
Mailing address
37125 TENNESSEE SCHOOL DR, LEBANON, OR 97355-9638
(503) 930-8821
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
118006
OR
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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