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Individual

DR. SAMIA HASSOUNEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
142 SW 2ND ST, CORVALLIS, OR 97333-4716
(541) 360-7004
(541) 516-4055
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
(541) 360-7004
(541) 516-4055

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11160
OR

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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