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1265570873
JUSTIN TODD WALTER
WOODBURN, OR
NPI
1265570873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D8760)
Enumeration Date
2007-02-03
Last Update Date
2021-10-08
Business Address
Dr. JUSTIN TODD WALTER D.M.D.
1230 GEORGE ST
WOODBURN, OR 97071-5203
Phone number: 503-981-3603
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Mailing Address
Dr. JUSTIN TODD WALTER D.M.D.
1230 GEORGE ST
WOODBURN, OR 97071-5203
Phone number: 503-981-3603
Copy
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