Individual
RUTHAITIP HONGYIM GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11905 SE KOALA DR, HAPPY VALLEY, OR 97086-9726
(360) 342-7623
Mailing address
11905 SE KOALA DR, HAPPY VALLEY, OR 97086-9726
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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