Anastasia Mospanova, DDS Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1194369801
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D11327 (OR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-11-05
- Last updated
- 2020-10-06
Practice location
1740 W 17th Ave
Eugene, OR 97402-3619
(458) 210-3543