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1104976737
JENNIFER KONG
PORTLAND, OR
NPI
1104976737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D7240)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER KONG DMD
15160 NW LAIDLAW ROAD, SUITE 202
PORTLAND, OR 97229-7707
Phone number: 503-533-2330
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Mailing Address
Dr. JENNIFER KONG DMD
15160 NW LAIDLAW RD SUITE 202
PORTLAND, OR 97229-7707
Phone number: 503-533-2330
Copy
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