Individual
CHRISTINA MARIE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19075 NW TANASBOURNE DR, SUITE 300, HILLSBORO, OR 97124-5860
(503) 531-1700
Mailing address
19075 NW TANASBOURNE DR, SUITE 300, HILLSBORO, OR 97124-5860
(503) 531-1700
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
117629
OR
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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