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1457429425
JEANINE LEA HERZOG
PORTLAND, OR
NPI
1457429425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 6133)
Enumeration Date
2006-11-30
Last Update Date
2016-06-23
Business Address
Dr. JEANINE LEA HERZOG DMD
3653 SE 34TH AVE
PORTLAND, OR 97202
Phone number: 503-665-9616
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Mailing Address
Dr. JEANINE LEA HERZOG DMD
3653 SE 34TH AVE
PORTLAND, OR 97202-3034
Phone number:
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