Individual
DEANN DARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33 NW BROADWAY STE 380, PORTLAND, OR 97209-3580
(503) 312-8194
Mailing address
7850 SW 88TH AVE, PORTLAND, OR 97223-7018
(503) 312-8194
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3828
OR
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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