Most Relevant Information
Provider Data
| NPI Number: | 1003801069 |
| Provider Name: | INNA V SHIMANOVSKY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D7792 |
Most Important Dates
| Enumeration Date: | 09/15/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
16640 SE MCLOUGHLIN BLVD
OAK GROVE
OR
972674810
Practice Location Phone/Fax
| Phone: | 5036593003 |
| Fax: |
Provider Mailing Location
13217 SW ROCKINGHAM DR
TIGARD
OR
972231779
Provider Mailing Phone/Fax
| Phone: | 5035211946 |
| Fax: |