Individual
DR. JENNIFER DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2534 SW RAVENSVIEW DR, PORTLAND, OR 97201-1756
(818) 324-1597
Mailing address
2534 SW RAVENSVIEW DR, PORTLAND, OR 97201-1756
(818) 324-1597
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10654
OR
Other
Enumeration date
06/08/2015
Last updated
09/04/2024
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