Individual
JESSICA BUENJEMIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2157 BROADWAY ST, NORTH BEND, OR 97459-2329
(541) 751-1915
Mailing address
1001 SE TUALATIN VALLEY HWY, STE A16, HILLSBORO, OR 97123-4977
(503) 693-1217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023013
—
OR
Enumeration date
01/19/2006
Last updated
12/29/2016
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