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1104823111
RONALD CHARLES SELIS
PORTLAND, OR
NPI
1104823111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6582)
Enumeration Date
2005-07-05
Last Update Date
2007-07-08
Business Address
Dr. RONALD CHARLES SELIS DMD, PC
2422 NE FREMONT ST
PORTLAND, OR 97212-2509
Phone number: 503-287-1554
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Mailing Address
Dr. RONALD CHARLES SELIS DMD, PC
2422 NE FREMONT ST
PORTLAND, OR 97212-2509
Phone number: 503-287-1554
Copy
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