Individual
DR. MIN AH DEAINZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2900 RAWHIDE ST, WEST LINN, OR 97068-2313
(503) 545-4220
Mailing address
2900 RAWHIDE ST, WEST LINN, OR 97068-2313
(503) 545-4220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8725
OR
1223G0001X
General Practice Dentistry
DE00010604
WA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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