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1154002194
SAMUEL THOMAS WELLS
PORTLAND, OR
NPI
1154002194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 11809)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
Dr. SAMUEL THOMAS WELLS DMD
833 SW 11TH AVE STE 405
PORTLAND, OR 97205-2118
Phone number: 503-228-6870
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Mailing Address
Dr. SAMUEL THOMAS WELLS DMD
833 SW 11TH AVE STE 405
PORTLAND, OR 97205-2118
Phone number: 503-228-6870
Copy
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