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1164401659
TED JAY TERRY
COOS BAY, OR
NPI
1164401659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D4279)
Enumeration Date
2006-01-12
Last Update Date
2007-07-08
Business Address
Dr. TED JAY TERRY DMD
470 HIGHLAND AVE
COOS BAY, OR 97420-2243
Phone number: 541-267-6673
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Mailing Address
Dr. TED JAY TERRY DMD
470 HIGHLAND AVE
COOS BAY, OR 97420-2243
Phone number: 541-267-6673
Copy
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