Individual
OLESYA SALATHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
106 E 2ND ST, MOLALLA, OR 97038-9195
(503) 829-9731
(503) 829-8626
Mailing address
PO BOX 657, MOLALLA, OR 97038-0657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9476
OR
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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