MS. Breanna Lorraine Mccoy I, RDH

NPI #1245459940 in Pendleton, Oregon

Provider Information

NPI Number: 1245459940
Entity Type: Individual
Name: MS. Breanna Lorraine Mccoy I, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1100 SOUTHGATE STE 17
City: Pendleton
State: Oregon
ZIP Code: 97801-3971
Phone: (541) 276-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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