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1396002366
STEPHANIE ROSE
TIGARD, OR
NPI
1396002366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9498)
Enumeration Date
2012-04-16
Last Update Date
2020-02-12
Business Address
Dr. STEPHANIE ROSE DMD
12625 SW 69TH AVE
TIGARD, OR 97223-8306
Phone number: 503-968-9766
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Mailing Address
Dr. STEPHANIE ROSE DMD
12625 SW 69TH AVE
TIGARD, OR 97223-8306
Phone number: 503-968-9766
Copy
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