Individual
KANDACE LOUISE ALLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH; EPDH
Contact information
Practice address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(800) 525-6800
(503) 581-0043
Mailing address
4750 BLESSING LN NE, SALEM, OR 97305-3996
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8437
OR
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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