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1376581587
DENTAL VISION PC
GRANTS PASS, OR
NPI
1376581587
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Entity Type
Organization
Authorized Contact
IGOR SHISHKIN
Doctor/President
541-471-7062
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D6927)
Enumeration Date
2006-06-02
Last Update Date
2020-08-22
Business Address
DENTAL VISION PC
934 NE 8TH ST
GRANTS PASS, OR 97526-1641
Phone number: 541-471-7062
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Mailing Address
DENTAL VISION PC
934 NE 8TH ST
GRANTS PASS, OR 97526-1641
Phone number: 541-471-7062
Copy
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