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1447553409
PREVENTIVE DENTAL LLC
CORVALLIS, OR
NPI
1447553409
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Entity Type
Organization
Authorized Contact
ZINA BURT
Dental Hygienist
541-231-3212
Organization Subpart ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OR H3040)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
PREVENTIVE DENTAL LLC
1610 NW MENLO DR
CORVALLIS, OR 97330-2055
Phone number: 541-231-3212
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Mailing Address
PREVENTIVE DENTAL LLC
1610 NW MENLO DR
CORVALLIS, OR 97330-2055
Phone number: 541-231-3212
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