Individual
SUMMER LEILA TEENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005
(503) 626-4148
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 626-4148
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3721
OR
Other
Enumeration date
03/07/2008
Last updated
12/17/2021
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