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1356448351
JOSE LUIS JAVIER
BEND, OR
NPI
1356448351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9037)
Enumeration Date
2006-09-20
Last Update Date
2024-07-25
Business Address
JOSE LUIS JAVIER DDS
2084 NE PROFESSIONAL CT
BEND, OR 97701
Phone number: 541-383-3005
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Mailing Address
JOSE LUIS JAVIER DDS
PO BOX 4228
PORTLAND, OR 97208-4228
Phone number: 554-383-3005
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