Mitra Gaspeed

NPI #1508311424 in Beaverton, Oregon

Provider Information

NPI Number: 1508311424
Entity Type: Organization
Organization Name: Mitra Gaspeed
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 20, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 8615 SW THOROUGHBRED PL.
City: Beaverton
State: Oregon
ZIP Code: 97008
Phone: (971) 322-9504

Authorized Official

Name: MITRA GASPEED
Title: DENTAL HYGIENIST
Phone: (971) 322-9504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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