Individual
MOLLY MANGUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE STE 270, HILLSBORO, OR 97123-4218
(503) 352-7373
Mailing address
1059 JUNIPER ST N, KEIZER, OR 97303-6262
(503) 730-7674
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7839
OR
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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