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1518246578
CODY SIMON NEGRETE
BEND, OR
NPI
1518246578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10269)
Additional Taxonomies
122300000X Dentist
(Licence: IA 08847)
Enumeration Date
2011-08-09
Last Update Date
2022-07-21
Business Address
Dr. CODY SIMON NEGRETE DDS
62968 O B RILEY RD BLDG D
BEND, OR 97703-9442
Phone number: 855-433-6825
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Mailing Address
Dr. CODY SIMON NEGRETE DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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