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1093194110
RYAN J LECLAIRE
TIGARD, OR
NPI
1093194110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D10217)
Enumeration Date
2015-05-21
Last Update Date
2015-07-18
Business Address
Dr. RYAN J LECLAIRE D.D.S.
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-286-6868
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Mailing Address
Dr. RYAN J LECLAIRE D.D.S.
7105 SW HAMPTON ST
TIGARD, OR 97223-8314
Phone number: 503-286-6868
Copy
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