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1215683503
IMPACT SLEEP DENTISTRY
BEAVERTON, OR
NPI
1215683503
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Entity Type
Organization
Authorized Contact
MELIKA KASHKOULI
Owner
503-679-5072
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-02-24
Last Update Date
2022-04-29
Business Address
IMPACT SLEEP DENTISTRY
3415 SW 187TH AVE
BEAVERTON, OR 97003-3106
Phone number: 503-649-3101
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Mailing Address
IMPACT SLEEP DENTISTRY
17455 SW HOODOO CT
BEAVERTON, OR 97007-7702
Phone number: 503-679-5072
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