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Individual

JENNIFER JULIANA ENTRAMBASAGUAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Mailing address
572 SE 6TH AVE, HILLSBORO, OR 97123-4507
(503) 702-2033

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
01/05/2023
Last updated
01/05/2023
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