JEREMIAH SHAKESPEAR

ASTORIA, OR
NPI1174843197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D9903)
Enumeration Date2010-06-02
Last Update Date2013-07-16
Business Address
-- JEREMIAH SHAKESPEAR DDS
1775 EXCHANGE ST
ASTORIA, OR 97103-3508
Phone number: 503-325-3533
Mailing Address
-- JEREMIAH SHAKESPEAR DDS
1775 EXCHANGE ST
ASTORIA, OR 97103-3508
Phone number: 503-325-3533
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