Individual
INNA ANATOLYEVNA LEONCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5493 AMY ST, WEST LINN, OR 97068-3320
(503) 710-9839
Mailing address
5493 AMY ST, WEST LINN, OR 97068-3320
(503) 710-9839
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6307
OR
Other
Enumeration date
02/02/2013
Last updated
08/26/2013
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