Larissa Vanderwall
Dental Assistant · Tigard, OR
UnclaimedNPI 1043854110
- Primary taxonomy
- 126800000X
- Enumerated
- 2019-11-01
- Practice location
- Tigard, OR
- Last NPPES update
- 2019-11-01
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.