Individual provider · Type 1 NPI

Dora Luz Sandoval, EPDH

Dental Hygienist · Salem, OR

NPI number 1093570400 Active

Practice location

610 Hawthorne Ave SE Ste 200
Salem, OR 97301-5378

Call (800) 525-6800 Map

Fax (503) 581-0043

Mailing address

1601 Monmouth St
Independence, OR 97351-1019

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH4303 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1093570400

Dora Luz Sandoval, EPDH's National Provider Identifier is 1093570400, issued on Feb 14, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Salem, OR. The record was last updated on Feb 14, 2024.