Individual
DR. ALAINE TAY SHOMALI PREVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
409 1ST AVE NW, ALBANY, OR 97321-2227
(541) 666-7165
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
(888) 468-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11111
OR
Other
Enumeration date
08/01/2019
Last updated
08/09/2019
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