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1043360167
JOHN CHARLES FRACHELLA
REDMOND, OR
NPI
1043360167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OR D8841)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. JOHN CHARLES FRACHELLA DMD
1424 SW 15TH
REDMOND, OR 47756
Phone number: 406-338-6182
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Mailing Address
Dr. JOHN CHARLES FRACHELLA DMD
PO BOX 254
MITCHELL, OR 97750-0254
Phone number: 541-462-3055
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