Organization
IRINA MOGA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA MOGA DDS (OWNER)
(503) 646-5909
Entity
Organization
Contact information
Practice address
14475 SW ALLEN BLVD, BEAVERTON, OR 97005-4418
(503) 646-5909
(503) 646-5908
Mailing address
14425 SW ALLEN BLVD, BEAVERTON, OR 97005-4402
(503) 646-5909
(503) 646-5908
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8510
OR
Other
Enumeration date
03/14/2012
Last updated
07/07/2021
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