| Natalya Juson D.m.d., Llc | |
|
11619 Ne Glisan St Portland OR 97220-2262 | |
| (503) 475-2645 | |
| Not Available |
| Full Name | Natalya Juson D.m.d., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11619 Ne Glisan St, Portland, Oregon |
| Authorized Official Name and Position | Natalya A Juson (DENTIST) |
| Authorized Official Contact | 5034752645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalya Juson D.m.d., Llc 11619 Ne Glisan St Portland OR 97220-2262 Ph: (503) 475-2645 | Natalya Juson D.m.d., Llc 11619 Ne Glisan St Portland OR 97220-2262 Ph: (503) 475-2645 |
| NPI Number | 1285952754 |
|---|---|
| Provider Enumeration Date | 05/09/2010 |
| Last Update Date | 05/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285952754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9140 (Oregon) | Primary |
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