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1104982313
NICOLE N LUONG
PORTLAND, OR
NPI
1104982313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D7803)
Enumeration Date
2006-12-29
Last Update Date
2014-01-25
Business Address
Dr. NICOLE N LUONG DDS
12720 SE STARK ST
PORTLAND, OR 97233-1539
Phone number: 503-252-6133
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Mailing Address
Dr. NICOLE N LUONG DDS
10232 SE CHAMPAGNE LN
HAPPY VALLEY, OR 97086-7843
Phone number: 503-708-8059
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