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1053408005
PETER JOHN LAX
PORTLAND, OR
NPI
1053408005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: OR D5068)
Enumeration Date
2006-10-09
Last Update Date
2011-07-04
Business Address
DR. PETER JOHN LAX DMD
830 NE 47TH AVE
PORTLAND, OR 97213-2212
Phone number: 503-215-2400
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Mailing Address
DR. PETER JOHN LAX DMD
720 NE LAURELHURST PL
PORTLAND, OR 97232-2653
Phone number: 503-235-3255
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