Individual
MRS. CHERYL RENEE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
90 NW 2ND ST, GRESHAM, OR 97030-7222
(503) 665-4795
Mailing address
90 NW 2ND ST, GRESHAM, OR 97030-7222
(503) 665-4795
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0640
OR
Other
Enumeration date
11/01/2009
Last updated
11/01/2009
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