Individual
EMILY CANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12450 SW WALKER RD, BEAVERTON, OR 97005-1401
(503) 277-1050
Mailing address
CEDAR HILLS DENTAL OFFICE, 12450 SW WALKER ROAD, BEAVERTON, OR 97005
(503) 277-1050
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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