Individual
MASA SAFIC YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8070 SW HALL BLVD, BEAVERTON, OR 97008-6419
(503) 644-1110
Mailing address
8070 SW HALL BLVD, BEAVERTON, OR 97008-6419
(503) 644-1110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6322
OR
Other
Enumeration date
12/22/2012
Last updated
01/30/2013
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