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1023028305
SUSAN JANE ANTONY
BEAVERTON, OR
NPI
1023028305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OR D6943)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Dr. SUSAN JANE ANTONY DDS
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-259-3160
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Mailing Address
Dr. SUSAN JANE ANTONY DDS
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-259-3160
Copy
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