Individual
MRS. DELIA LARISA CERBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15105 SW 98TH AVE, TIGARD, OR 97224-4709
(503) 858-2221
Mailing address
15105 SW 98TH AVE, TIGARD, OR 97224-4709
(503) 858-2221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6900
OR
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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