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1104029446
TIGARD DENTAL
TIGARD, OR
NPI
1104029446
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Entity Type
Organization
Authorized Contact
JASON J WHEELER
Owner
503-684-9017
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 7862)
Enumeration Date
2007-06-06
Last Update Date
2020-08-22
Business Address
TIGARD DENTAL
12720 SW PACIFIC HWY STE 2
TIGARD, OR 97223-6125
Phone number: 503-684-9017
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Mailing Address
TIGARD DENTAL
12720 SW PACIFIC HWY STE 2
TIGARD, OR 97223-6125
Phone number: 503-684-9017
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