Individual
LAUNA CARINA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-6560
Mailing address
545 SE CHURCH ST, SUBLIMITY, OR 97385-9715
(503) 769-9072
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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