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1043658255
ROSS HAVENS HART
PORTLAND, OR
NPI
1043658255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D10355)
Enumeration Date
2013-06-10
Last Update Date
2018-03-17
Business Address
Dr. ROSS HAVENS HART DDS
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3101
Phone number: 971-413-0761
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Mailing Address
Dr. ROSS HAVENS HART DDS
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3101
Phone number: 971-413-0761
Copy
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