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1205948130
GLEN M SHIMSHAK
PORTLAND, OR
NPI
1205948130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 4978)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. GLEN M SHIMSHAK DMD
511 SW 10TH #1008
PORTLAND, OR 97205
Phone number: 503-223-2442
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Mailing Address
Dr. GLEN M SHIMSHAK DMD
511 SW 10TH #1008
PORTLAND, OR 97205
Phone number: 503-223-2442
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