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1225035207
MARK W HAMM
ROSEBURG, OR
NPI
1225035207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 5836)
Enumeration Date
2005-07-05
Last Update Date
2007-07-08
Business Address
-- MARK W HAMM DMD
1313 W HARVARD AVE
ROSEBURG, OR 97470-2838
Phone number: 541-673-3355
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Mailing Address
-- MARK W HAMM DMD
1381 SE MAGNOLIA DR
ROSEBURG, OR 97470-4373
Phone number: 541-673-4442
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