Individual
MRS. NANCY K CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
309 W 21ST ST, THE DALLES, OR 97058-3424
(541) 296-3245
Mailing address
309 W 21ST ST, THE DALLES, OR 97058-3424
(541) 296-3245
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HO556
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005750
—
OR
Enumeration date
09/09/2008
Last updated
09/09/2008
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