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1417949769
MICHAEL EDWARD DAVIS
PORTLAND, OR
NPI
1417949769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D4512)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
DR. MICHAEL EDWARD DAVIS DMD
2250 NW FLANDERS ST SUITE 212
PORTLAND, OR 97210-3443
Phone number: 503-248-1114
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Mailing Address
DR. MICHAEL EDWARD DAVIS DMD
2250 NW FLANDERS ST SUITE 212
PORTLAND, OR 97210-3443
Phone number: 503-248-1114
Copy
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