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1184362329
GRESHAM DG LLC
GRESHAM, OR
NPI
1184362329
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Entity Type
Organization
Authorized Contact
RYAN SMITH
Manager
971-708-9540
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
GRESHAM DG LLC
455 WEST POWELL BLVD
GRESHAM, OR 97030
Phone number: 503-661-9696
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Mailing Address
GRESHAM DG LLC
455 WEST POWELL BLVD
GRESHAM, OR 97030
Phone number:
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