Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. IRINA MOGA DDS
Gender: FEMALE
NPI: 1952329526
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Last Updated: | 2016-11-16 | ||
| Certification Date: |
Details
| Name | Value | ||||||||
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| NPI | 1952329526 | ||||||||
| Enumeration Date | 2006-07-18 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address |
14425 SW ALLEN BLVD
SUITE 200
BEAVERTON, OR 97005-4402 United States Phone: 503-646-5909 | Fax: 503-646-5909 View Map 
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| Primary Practice Address |
4970 SW MAIN AVE
SUITE 200
BEAVERTON, OR 97005-2740 United States Phone: 503-646-5909 | Fax: 503-646-5908 View Map
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