Individual
LYUBOV V. CHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-5089
(360) 896-4484
Mailing address
275 SW RIVERVIEW AVE, GRESHAM, OR 97080-6772
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60075399
WA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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