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1013043660
CHARLES K DARK
BEND, OR
NPI
1013043660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D5036)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
DR. CHARLES K DARK DMD
62968 OBRILEY RD #12
BEND, OR 97701
Phone number: 541-330-6445
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Mailing Address
DR. CHARLES K DARK DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2164
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