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1073572459
DANIEL E BLICKENSTAFF
PORTLAND, OR
NPI
1073572459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6921)
Enumeration Date
2006-03-22
Last Update Date
2007-07-08
Business Address
Dr. DANIEL E BLICKENSTAFF DDS
975 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number: 503-646-1463
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Mailing Address
Dr. DANIEL E BLICKENSTAFF DDS
975 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number: 503-646-1463
Copy
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