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1184071003
TIGARD CITY DENTAL PC
TIGARD, OR
NPI
1184071003
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Entity Type
Organization
Authorized Contact
JOHN D CHUNG
Owner
503-679-7730
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR d6995)
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
TIGARD CITY DENTAL PC
11565 SW HALL BLVD STE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131
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Mailing Address
TIGARD CITY DENTAL PC
11565 SW HALL BLVD STE A
TIGARD, OR 97223-8493
Phone number: 503-620-2131
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