Individual
CYNTHIA BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1040 WEBBER ST, THE DALLES, OR 97058-3749
(541) 386-6380
(541) 308-0754
Mailing address
849 PACIFIC AVE, HOOD RIVER, OR 97031-1956
(541) 308-8308
(541) 308-0754
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6114
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6114
STATE LICENSE
OR
Enumeration date
06/22/2020
Last updated
06/22/2020
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