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1104076926
EDWARD D LACY
TUALATIN, OR
NPI
1104076926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D4844)
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
Dr. EDWARD D LACY D.M.D., P.C.
8220 SW WARM SPRINGS ST SUITE 200
TUALATIN, OR 97062-9338
Phone number: 503-692-0337
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Mailing Address
Dr. EDWARD D LACY D.M.D., P.C.
8220 SW WARM SPRINGS ST SUITE 200
TUALATIN, OR 97062-9338
Phone number: 503-692-0337
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