NPI 1073668430

Maribel G Zavala, PTDA

Practitioner Dental Assistant Clackamas, OR

Practice location

Address: 10209 SE Sunnyside Rd, Clackamas, OR 97015-9782
Phone: (503) 353-3900
Mailing address: 250 W Jersey St, Gladstone, OR 97027-1911

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 113062 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1073668430
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.