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1023339199
POWELL FAMILY DENTAL
PORTLAND, OR
NPI
1023339199
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Entity Type
Organization
Authorized Contact
OLGA DONTSOVA
Dentist
503-788-0405
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR d7590)
Enumeration Date
2010-06-11
Last Update Date
2010-06-11
Business Address
POWELL FAMILY DENTAL
11050 SE POWELL BLVD STE 378
PORTLAND, OR 97266-1863
Phone number: 503-788-0405
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Mailing Address
POWELL FAMILY DENTAL
11050 SE POWELL BLVD STE 378
PORTLAND, OR 97266-1863
Phone number: 503-788-0405
Copy
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