Individual
MRS. SUZANNE MARIE JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
181 SW KALMIA AVE, WARRENTON, OR 97146
(503) 861-8588
(503) 861-3246
Mailing address
181 SW KALMIA AVE, WARRENTON, OR 97146-7209
(503) 440-6392
(503) 861-3246
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6073
OR
Other
Enumeration date
02/11/2012
Last updated
02/18/2015
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