Individual
MIA DAFINESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30390 SW ROGUE LN, #3006, WILSONVILLE, OR 97070-6653
(503) 913-6330
Mailing address
30390 SW ROGUE LN, #3006, WILSONVILLE, OR 97070-6653
(503) 913-6330
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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