Tatyana Nikolaevna Poleon, L.D.

NPI #1477993434 in Portland, Oregon

Provider Information

NPI Number
1477993434
Entity Type
Individual
Name
Tatyana Nikolaevna Poleon, L.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Denturist
Credential
L.D.
Enumeration Date
Jul 4, 2013
Last Updated
Jul 4, 2013

Practice Location

Address
7931 NE HALSEY ST
Address 2
SUITE 307
State
Oregon
ZIP Code
97213-6755
Phone
(360) 216-5931

Specialties & Taxonomy Codes

Specialty
Denturist

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