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Individual

SANTE L VAN METER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DA

Contact information

Practice address
12750 SE STARK ST BLDG E, PORTLAND, OR 97233-1539
(971) 347-3009
(971) 256-3277
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
120953
OR

Other

Enumeration date
08/20/2019
Last updated
11/20/2019
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