Individual
DR. CRYSTAL DEWI ROSLINA KRISWANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7095 SW GONZAGA ST, TIGARD, OR 97223-8309
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7621
OR
Other
Enumeration date
01/23/2007
Last updated
11/29/2023
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