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1174530091
STEVEN W. BLACK
BEAVERTON, OR
NPI
1174530091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D6736)
Enumeration Date
2006-08-02
Last Update Date
2010-08-02
Business Address
Dr. STEVEN W. BLACK DDS
14795 SW MURRAY SCHOLLS DR STE 119
BEAVERTON, OR 97007-9713
Phone number: 503-524-0524
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Mailing Address
Dr. STEVEN W. BLACK DDS
PO BOX 1891
LAKE OSWEGO, OR 97035-0612
Phone number:
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