Moga, Michael

Moga, Michael is an sole proprietor health care provider with primary practice located at 12400 Sw Allen Blvd Suite B, Beaverton OR 97005-4714. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Moga, Michael can be contacted via phone (503) 643-6213.

Contact Information

Primary practice address
12400 Sw Allen Blvd Suite B Beaverton OR 97005-4714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DT-DO-188851 Oregon

Profile Details

NPI number 1730226333
LBN Legal business name Moga, Michael
Credentials LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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