Individual
ALI WADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2251 E HANCOCK ST STE 103, NEWBERG, OR 97132-2145
(971) 281-3000
Mailing address
2251 E HANCOCK ST STE 103, NEWBERG, OR 97132-2145
(971) 281-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12070
OR
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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