Individual
MARY BETH AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
Mailing address
17944 COUNTRY VILLAGE DR, OREGON CITY, OR 97045-7845
(503) 557-3966
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
112432
OR
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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