Individual
DR. NANDINI TIRUVALLUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10115 SW NIMBUS AVE, SUITE 350, TIGARD, OR 97223-4349
(503) 684-7868
Mailing address
1101 SE TECH CENTER DR, SUITE 195, VANCOUVER, WA 98683-5504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6804
OR
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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