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1003032483
MARK O SHOGER
BEAVERTON, OR
NPI
1003032483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D6564)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- MARK O SHOGER DDS
14780 SW OSPREY DR SUITE 345
BEAVERTON, OR 97007-8028
Phone number: 503-579-2495
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Mailing Address
-- MARK O SHOGER DDS
14780 SW OSPREY DR SUITE 345
BEAVERTON, OR 97007-8028
Phone number: 503-579-2495
Copy
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