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1376991240
ADVANCED DENTAL ARTS NW
PORTLAND, OR
NPI
1376991240
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Entity Type
Organization
Authorized Contact
RUSSELL C TEASDALE
Owner/Dentist
503-235-0555
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D5751)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
ADVANCED DENTAL ARTS NW
1316 SW 13TH AVE
PORTLAND, OR 97201
Phone number: 503-235-0555
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Mailing Address
ADVANCED DENTAL ARTS NW
1316 SW 13TH AVE
PORTLAND, OR 97201
Phone number: 503-235-0555
Copy
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