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1356520852
LANCE EDWARD WEST
MEDFORD, OR
NPI
1356520852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D8008)
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
-- LANCE EDWARD WEST D.M.D., M.S., P.C.
1322 E MCANDREWS RD SUITE 102
MEDFORD, OR 97504-6177
Phone number: 541-770-1176
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Mailing Address
-- LANCE EDWARD WEST D.M.D., M.S., P.C.
1322 E MCANDREWS RD SUITE 102
MEDFORD, OR 97504-6177
Phone number: 541-770-1176
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