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1518007582
PHILIP P GREEN
BEAVERTON, OR
NPI
1518007582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR D5048)
Enumeration Date
2007-02-07
Last Update Date
2008-01-16
Business Address
Dr. PHILIP P GREEN D.M.D.
3925 SW 153RD DR SUITE #100
BEAVERTON, OR 97006-4166
Phone number: 503-646-7101
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Mailing Address
Dr. PHILIP P GREEN D.M.D.
3925 SW 153RD DR SUITE #100
BEAVERTON, OR 97006-4166
Phone number: 503-646-7101
Copy
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