Individual
BRIANI KOMODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
Mailing address
16035 SW AUDUBON ST UNIT 101, BEAVERTON, OR 97003-2786
(808) 385-0509
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/21/2021
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