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1073607115
CAROLYN ANN MUCKERHEIDE
HILLSBORO, OR
NPI
1073607115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OR D8526)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Mrs. CAROLYN ANN MUCKERHEIDE D.D.S.
2380 NW AMBERBROOK DR
HILLSBORO, OR 97006-6952
Phone number: 503-641-8800
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Mailing Address
Mrs. CAROLYN ANN MUCKERHEIDE D.D.S.
2380 NW AMBERBROOK DR
HILLSBORO, OR 97006-6952
Phone number: 503-641-8800
Copy
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