Organization
ESSENTIAL DENTAL HYGIENE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LEE HUMPHREY RDH, EPDH (REGISTERED DENTAL HYGIENIST)
(541) 815-3985
Entity
Organization
Contact information
Practice address
335 NW 140TH PL, BEAVERTON, OR 97006-6161
(541) 815-3985
Mailing address
335 NW 140TH PL, BEAVERTON, OR 97006-6161
(541) 815-3985
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5866
OR
261QD0000X
Dental Clinic/Center
H5866
OR
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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