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1205336112
ROOTS DENTAL LLC
PORTLAND, OR
NPI
1205336112
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Entity Type
Organization
Authorized Contact
RYAN SMITH
CEO
716-601-9468
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 9728)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
ROOTS DENTAL LLC
3620 SE POWELL BLVD # 200
PORTLAND, OR 97202-1880
Phone number: 716-601-9468
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Mailing Address
ROOTS DENTAL LLC
3620 SE POWELL BLVD # 200
PORTLAND, OR 97202-1880
Phone number:
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