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1477979516
WAVERLY DENTAL LLC
ALBANY, OR
NPI
1477979516
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Entity Type
Organization
Authorized Contact
SHAWN R GRIFFIN
Administrator
541-929-5227
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2014-03-13
Last Update Date
2014-03-13
Business Address
WAVERLY DENTAL LLC
721 WAVERLY DR SE
ALBANY, OR 97322-5080
Phone number: 541-928-8434
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Mailing Address
WAVERLY DENTAL LLC
721 WAVERLY DR SE
ALBANY, OR 97322-5080
Phone number: 541-928-8434
Copy
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