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1235314667
SOUTHSIDE DENTAL PC
SALEM, OR
NPI
1235314667
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Entity Type
Organization
Authorized Contact
JENNIFER P. OWENS
Doctor
503-763-9797
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D7830)
Enumeration Date
2008-01-03
Last Update Date
2008-01-03
Business Address
SOUTHSIDE DENTAL PC
3460 LIBERTY RD S
SALEM, OR 97302-4607
Phone number: 503-763-9797
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Mailing Address
SOUTHSIDE DENTAL PC
3460 LIBERTY RD S
SALEM, OR 97302-4607
Phone number: 503-763-9797
Copy
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