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1518251065
BENJAMIN J DRIVER
ROSEBURG, OR
NPI
1518251065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9318)
Enumeration Date
2011-06-01
Last Update Date
2011-06-01
Business Address
-- BENJAMIN J DRIVER DMD
1651 NW HUGHWOOD CT
ROSEBURG, OR 97471-8834
Phone number: 541-672-8187
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Mailing Address
-- BENJAMIN J DRIVER DMD
299 HIDDEN VALLEY LN
ROSEBURG, OR 97471-8255
Phone number: 503-956-1066
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