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1114248085
STACY EDEN
TIGARD, OR
NPI
1114248085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10481)
Enumeration Date
2010-06-15
Last Update Date
2020-06-11
Business Address
STACY EDEN DDS
11820 SW KING JAMES PL J10
TIGARD, OR 97224-2480
Phone number: 503-616-5000
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Mailing Address
STACY EDEN DDS
11820 SW KING JAMES PL J10
TIGARD, OR 97224-2480
Phone number: 503-616-5000
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