Individual
MS. OLGA I ZLATOVA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
325 SE 154TH AVE, PORTLAND, OR 97233
(503) 730-2782
Mailing address
325 SE 154TH AVE, PORTLAND, OR 97233-3107
(503) 730-2782
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6614
OR
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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