Susan Castor

NPI #1316092083 in Gresham, Oregon

Provider Information

NPI Number: 1316092083
Entity Type: Individual
Name: Susan Castor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 360 NW BURNSIDE RD
City: Gresham
State: Oregon
ZIP Code: 97030-3852
Phone: (503) 667-7480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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