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Michael Moga, LD
Denturist in Beaverton, Oregon
NPI 1730226333

Michael Moga is a Denturist based in Beaverton, OR. Michael Moga practices in Beaverton, OR and has the professional credentials of LD. The NPI Number for Michael Moga is 1730226333 and holds a License No. DT-DO-188851 (Oregon).

The current practice location address for Michael Moga is 12400 Sw Allen Blvd, Beaverton, OR and can be reached out via phone at 503-643-6213.

Location: 12400 Sw Allen Blvd, Beaverton, OR, 97005-4714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730226333
Provider Name
Michael Moga
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
12400 Sw Allen Blvd, Beaverton, OR, 97005-4714
Phone Number
503-643-6213
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12400 Sw Allen Blvd
City
Beaverton
State
Oregon
Zip
97005-4714
Phone Number
503-643-6213
Fax Number
person
Provider Business Mailing Address Details
Address
12400 Sw Allen Blvd
City
Beaverton
State
Oregon
Zip
97005-4714
Phone Number
503-643-6213
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-188851 (Oregon)
Definition
Definition to come.
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