Kristine S. Bahng, LD

NPI #1992918361 in Beaverton, Oregon

Provider Information

NPI Number: 1992918361
Entity Type: Individual
Name: Kristine S. Bahng, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: LD
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13751 SW FARMINGTON RD
City: Beaverton
State: Oregon
ZIP Code: 97005-2603
Phone: (503) 502-9108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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