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1457733529
MANERVA JEANETTE HART
PORTLAND, OR
NPI
1457733529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D11725)
Additional Taxonomies
122300000X Dentist
(Licence: CA 100438)
Enumeration Date
2015-06-24
Last Update Date
2023-06-28
Business Address
Dr. MANERVA JEANETTE HART DDS
1710 NE 122ND AVE
PORTLAND, OR 97230-1939
Phone number: 503-295-2120
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Mailing Address
Dr. MANERVA JEANETTE HART DDS
1710 NE 122ND AVE
PORTLAND, OR 97230-1939
Phone number: 503-740-2479
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