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1538614458
DIVISION FAMILY DENTAL LLC
GRESHAM, OR
NPI
1538614458
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Entity Type
Organization
Authorized Contact
TERESA NGUYEN
Dentist
503-559-6533
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: OR D10228)
Enumeration Date
2016-08-21
Last Update Date
2016-08-21
Business Address
DIVISION FAMILY DENTAL LLC
2484 NE DIVISION ST
GRESHAM, OR 97030-6020
Phone number: 503-559-6533
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Mailing Address
DIVISION FAMILY DENTAL LLC
2484 NE DIVISION ST
GRESHAM, OR 97030-6020
Phone number:
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