DAVID RUSSELL DAHL

MEDFORD, OR
NPI1518074673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-237679)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
-- DAVID RUSSELL DAHL L.D.
1055 COURT ST
MEDFORD, OR 97501-5727
Phone number: 541-773-3551
Mailing Address
-- DAVID RUSSELL DAHL L.D.
1055 COURT ST
MEDFORD, OR 97501-5727
Phone number: 541-773-3551
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