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Individual

AIMEE RENEE AXTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3490 LANCASTER DR NE, SALEM, OR 97305-1356
(503) 540-9041
Mailing address
142 SW HENDRICKS ST, SUBLIMITY, OR 97385-8902
(541) 295-5557

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6008
OR

Other

Enumeration date
12/20/2012
Last updated
12/26/2012
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