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Irina Moga Dds Pc
Dental Clinic/Center in Beaverton, Oregon
NPI 1750656377

Irina Moga Dds Pc is a Dental Clinic/Center based in Beaverton, OR and is specialized in Dental. Irina Moga Dds Pc practices in Beaverton, OR. The NPI Number for Irina Moga Dds Pc is 1750656377 and holds a License No. D8510 (Oregon).

The current practice location address for Irina Moga Dds Pc is 14475 Sw Allen Blvd, Beaverton, OR and can be reached out via phone at 503-646-5909 and via fax at 503-646-5908.

Location: 14475 Sw Allen Blvd, Beaverton, OR, 97005-4402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750656377
Provider Name
Irina Moga Dds Pc
Credential
Provider Entity Type
Organization
Address
14475 Sw Allen Blvd, Beaverton, OR, 97005-4402
Phone Number
503-646-5909
Fax Number
503-646-5908
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14475 Sw Allen Blvd
City
Beaverton
State
Oregon
Zip
97005-4418
Phone Number
503-646-5909
Fax Number
503-646-5908
person
Provider Business Mailing Address Details
Address
14475 Sw Allen Blvd
City
Beaverton
State
Oregon
Zip
97005-4418
Phone Number
503-646-5909
Fax Number
503-646-5908
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D8510 (Oregon)
Definition
Definition to come...
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