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1336218403
PHILIP JOEL GROSS
PORTLAND, OR
NPI
1336218403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D5464)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. PHILIP JOEL GROSS DDS
101 SW MAIN ST STE 290
PORTLAND, OR 97204-3228
Phone number: 503-223-5125
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Mailing Address
Dr. PHILIP JOEL GROSS DDS
101 SW MAIN ST STE 290
PORTLAND, OR 97204-3228
Phone number: 503-223-5125
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