Individual
MARIA VICTORIA MANARANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-4900
Mailing address
1544 SE LARCH WAY, GRESHAM, OR 97080-2986
(503) 666-4209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6088
OR
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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