Individual
CANDACE LOUISE ENSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19267 N.W. PUMPKIN RIGDE RD., NORTH PLAINS, OR 97133-0050
(503) 476-4303
Mailing address
PO BOX 50, NORTH PLAINS, OR 97133-0050
(503) 476-4303
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 2154
OR
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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