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1154702132
ANTHONY ROYAL
ROSEBURG, OR
NPI
1154702132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D10248)
Enumeration Date
2015-06-15
Last Update Date
2015-06-15
Business Address
-- ANTHONY ROYAL DMD
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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Mailing Address
-- ANTHONY ROYAL DMD
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Copy
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