Individual
SANDRA BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, EPDH
Contact information
Practice address
261 ROYAL OAK ST, NEWBERG, OR 97132-7413
(503) 369-2156
Mailing address
261 ROYAL OAK ST, NEWBERG, OR 97132-7413
(503) 369-2156
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7409
OR
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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