Individual
LYDIA TRUJILLO GALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
212 SW 4TH ST STE 101, MADRAS, OR 97741-1322
(971) 383-0948
Mailing address
130 JEFFERSON AVE, METOLIUS, OR 97741-2310
(541) 460-2002
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8421
OR
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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