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1316178734
GLISAN DENTAL CORPORATION
PORTLAND, OR
NPI
1316178734
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Entity Type
Organization
Authorized Contact
TAN BA PHAM
Dentist
503-208-2220
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2009-08-03
Last Update Date
2009-08-03
Business Address
GLISAN DENTAL CORPORATION
7990 NE GLISAN ST
PORTLAND, OR 97213-7040
Phone number: 503-208-2220
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Mailing Address
GLISAN DENTAL CORPORATION
7990 NE GLISAN ST
PORTLAND, OR 97213-7040
Phone number: 503-208-2220
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