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1265710420
BRADLEY R HAGEDORN
PORTLAND, OR
NPI
1265710420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9613)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
Dr. BRADLEY R HAGEDORN DMD
973 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number: 503-644-7202
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Mailing Address
Dr. BRADLEY R HAGEDORN DMD
973 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number:
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