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1548333792
SEAN A. REISIG
SALEM, OR
NPI
1548333792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 7458)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. SEAN A. REISIG DDS
128 FRIENDSHIP AVE SE
SALEM, OR 97302-5716
Phone number: 503-581-9552
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Mailing Address
Dr. SEAN A. REISIG DDS
128 FRIENDSHIP AVE SE
SALEM, OR 97302-5716
Phone number: 503-581-9552
Copy
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