Individual
SHRUTI JADEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9997 SE 82ND AVE, HAPPY VALLEY, OR 97086-2301
(503) 902-1688
Mailing address
6875 SW 144TH PL, BEAVERTON, OR 97008-5552
(310) 404-7870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10426
OR
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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