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MIN-U TAN

Denturist

NPI: 1629777552Individual

Specialties, Licenses & Credentials

DenturistPrimary

Denturist

Code: 122400000X

DN61216096(WA)DT-DO-10222225(OR)

Dental Laboratory Technician

Code: 126900000X

Contact & Hours

Address
4855 SW WESTERN AVE
BEAVERTON, OR 97005

Quick Facts

NPI
1629777552
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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