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1104901040
THOMAS THANH TIEU
PORTLAND, OR
NPI
1104901040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7324)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. THOMAS THANH TIEU DMD
3620 NE 122ND AVE
PORTLAND, OR 97230-1365
Phone number: 503-254-5575
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Mailing Address
Dr. THOMAS THANH TIEU DMD
3620 NE 122ND AVE
PORTLAND, OR 97230-1365
Phone number: 503-254-5575
Copy
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