Individual
VINCE REYNIELLE NITO LABINPUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4817 RIVER RD N, KEIZER, OR 97303-4537
(503) 874-4560
Mailing address
4817 RIVER RD N, KEIZER, OR 97303-4537
(503) 874-4560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11771
OR
Other
Enumeration date
04/01/2021
Last updated
09/12/2023
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