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Individual

HEIDI HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
(503) 353-3903
Mailing address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A8034
OR

Other

Enumeration date
03/13/2009
Last updated
03/13/2009
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