Individual
LENORE S HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2300 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 754-2214
(541) 754-6631
Mailing address
2300 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 754-2214
(541) 754-6631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6501
OR
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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