NPI 1528435237

Lidiya Bogdan, LD

Practitioner Denturist Portland, OR

Practice location

Address: 4637 SE 128th Ave, Portland, OR 97236-3713
Phone: (971) 285-0987

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10169937 (OR)

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Registry record

NPI: 1528435237
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2015
Record last updated: 28 Aug 2015

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.