Individual
ALEXANDRIA IZORA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL THERAPY
Contact information
Practice address
630 MILUK DR, COOS BAY, OR 97420-7728
(541) 888-9494
Mailing address
109 ELM ST, PHOENIX, OR 97535-7765
(541) 816-8266
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT0020
OR
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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