TIMOTHY JOHN EDVALSON

LAKE OSWEGO, OR
NPI1205821154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D5825)
Enumeration Date2005-09-16
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY JOHN EDVALSON D.M.D.
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
Mailing Address
Dr. TIMOTHY JOHN EDVALSON D.M.D.
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
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