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Individual

MRS. KELLY MICHELE PFEIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, BSDH

Contact information

Practice address
917 LLOYD CTR FL 1, PORTLAND, OR 97232-1239
(503) 760-2823
Mailing address
917 LLOYD CENTER,, 1ST FLOOR, PORTLAND, OR 97232-1239
(503) 760-2823

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4394
OR

Other

Enumeration date
03/17/2010
Last updated
09/20/2012
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