person
Ms. Susan Mary Stovall, DENTURISTLD
Denturist in Clackamas, Oregon
NPI 1487851614

Susan Mary Stovall is a Denturist based in Clackamas, OR. Susan Mary Stovall practices in Clackamas, OR and has the professional credentials of DENTURISTLD. The NPI Number for Susan Mary Stovall is 1487851614 and holds a License No. DT DO 981893 (Oregon).

The current practice location address for Susan Mary Stovall is 16130 Se 82Nd Drive, Clackamas, OR and can be reached out via phone at 503-657-6500 and via fax at 503-557-0412.

Location: 16130 Se 82Nd Drive, Clackamas, OR, 97015-9587
person
Provider Profile Details
NPI Number
1487851614
Provider Name
Susan Mary Stovall
Credential
DENTURISTLD
Provider Entity Type
Individual
Gender
Female
Address
16130 Se 82Nd Drive, Clackamas, OR, 97015-9587
Phone Number
503-657-6500
Fax Number
503-557-0412
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16130 Se 82Nd Drive
City
State
Zip
97014
Phone Number
503-657-6500
Fax Number
503-557-0412
person
Provider Business Mailing Address Details
Address
16130 Se 82Nd Drive
City
State
Zip
97014
Phone Number
503-657-6500
Fax Number
503-557-0412
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DT DO 981893 (Oregon)
Definition
Definition to come.
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