JACK ALBERT HENRY

LAKE OSWEGO, OR
NPI1306860556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  OR 5500)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
Dr. JACK ALBERT HENRY D.M.D.
3993 LAKE GROVE AVE
LAKE OSWEGO, OR 97035-4493
Phone number: 503-636-0055
Mailing Address
Dr. JACK ALBERT HENRY D.M.D.
18709 MIRKWOOD DR
LAKE OSWEGO, OR 97034-7507
Phone number: 503-638-0385
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