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1508809104
TIMOTHY JOHN BOEHM
SALEM, OR
NPI
1508809104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D5027)
Enumeration Date
2006-06-13
Last Update Date
2012-04-26
Business Address
Dr. TIMOTHY JOHN BOEHM DMD
3000 MARKET ST NE
SALEM, OR 97301-1882
Phone number: 503-585-5205
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Mailing Address
Dr. TIMOTHY JOHN BOEHM DMD
1488 BOULDER CREEK ST SE
SALEM, OR 97301-6958
Phone number: 503-999-6115
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