Individual
OLIVIA MOULLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
926 BASELINE ST, CORNELIUS, OR 97113-8312
(503) 359-0339
Mailing address
1238 SE ROUNDELAY ST, HILLSBORO, OR 97123-5223
(503) 867-6152
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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