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Individual

MRS. SUZAN DEBRA SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, BS

Contact information

Practice address
19075 NW TANASBOURNE DR, HILLSBORO, OR 97124-5860
(503) 286-6868
Mailing address
4874 NW RAINIER TER, PORTLAND, OR 97229-2361
(503) 747-6962

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6998
OR

Other

Enumeration date
07/19/2016
Last updated
07/19/2016
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