Individual
RAELENE CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 LANCASTER DR NE, SALEM, OR 97301-4730
(503) 391-2219
Mailing address
530 LANCASTER DR NE, SALEM, OR 97301-4730
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT0023
OR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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