Individual
DR. IRINA MOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14425 SW ALLEN BLVD, BEAVERTON, OR 97005-4402
(503) 646-5909
(503) 646-5908
Mailing address
14425 SW ALLEN BLVD, SUITE 200, BEAVERTON, OR 97005-4402
(503) 646-5909
(503) 646-5909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8510
OR
Other
Enumeration date
07/18/2006
Last updated
05/13/2021
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