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1124276159
PAUL PANTLEO
BANDON, OR
NPI
1124276159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9802)
Enumeration Date
2008-09-03
Last Update Date
2012-12-03
Business Address
Dr. PAUL PANTLEO
1097 BALTIMORE AVE SE.
BANDON, OR 97411-8855
Phone number: 541-329-0550
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Mailing Address
Dr. PAUL PANTLEO
1097 BALTIMORE AVE
BANDON, OR 97411
Phone number: 541-329-0550
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