Individual
MICHELLE NICOLE EUZENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
190 KINGWOOD AVE NW, SALEM, OR 97304-4030
(503) 315-0712
Mailing address
190 KINGWOOD AVE NW, SALEM, OR 97304-4030
(503) 315-0712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8811
OR
Other
Enumeration date
12/19/2006
Last updated
10/04/2011
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