Individual
LORENA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1251 LANCASTER DR NE STE A, SALEM, OR 97301-1994
(503) 479-8325
Mailing address
1049 EDGEWATER ST NW STE 100, SALEM, OR 97304-4046
(520) 874-4560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D010029
AZ
1223P0221X
Pediatric Dentistry
Primary
D11204
OR
Other
Enumeration date
05/19/2015
Last updated
01/20/2023
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