Individual
AUGUSTA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 SHASTA WAY, KLAMATH FALLS, OR 97601-4356
(541) 810-7040
Mailing address
5056 GLENWOOD DR, KLAMATH FALLS, OR 97603-8500
(541) 891-5742
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6451
OR
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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