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1053968891
ELIZABETH MY ANH PHAN
TIGARD, OR
NPI
1053968891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D11140)
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
ELIZABETH MY ANH PHAN DMD
9900 SW GREENBURG RD STE 240
TIGARD, OR 97223-5454
Phone number: 971-206-7133
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Mailing Address
ELIZABETH MY ANH PHAN DMD
PO BOX 11470
EUGENE, OR 97440-3670
Phone number: 888-468-0022
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