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Oral Surgery, Dental Specialists

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Dental Assistant

Gresham, Oregon

Provider NPI: 1639224132

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 503-667-7480  Fax: --

Business Mailing Address:
4258 SE 15TH ST  GRESHAM, OR 97080 US
Tel: --  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant


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