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1487701942
RICHARD WALLACE MOORE
TIGARD, OR
NPI
1487701942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D5689)
Enumeration Date
2007-01-05
Last Update Date
2011-12-19
Business Address
-- RICHARD WALLACE MOORE DDS
10220 SW GREENBURG ROAD SUITE 150
TIGARD, OR 97223-5529
Phone number: 503-255-1200
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Mailing Address
-- RICHARD WALLACE MOORE DDS
10220 SW GREENBURG ROAD SUITE 150
TIGARD, OR 97223-5529
Phone number: 503-255-1200
Copy
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