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1093086415
BRIDGEPORT DENTAL LLC
TIGARD, OR
NPI
1093086415
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Entity Type
Organization
Authorized Contact
GEROGE KANG
Dds
503-906-8600
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
BRIDGEPORT DENTAL LLC
18035 SW LOWER BOONES FERRY RD
TIGARD, OR 97224-7228
Phone number: 503-906-8600
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Mailing Address
BRIDGEPORT DENTAL LLC
18035 SW LOWER BOONES FERRY RD
TIGARD, OR 97224-7228
Phone number: 503-906-8600
Copy
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