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1548719461
MIRROR POND DENTAL, LLC
VANCOUVER, WA
NPI
1548719461
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Entity Type
Organization
Authorized Contact
MARC ANDREW NORDSTROM
Member
541-610-7837
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60682826)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
MIRROR POND DENTAL, LLC
1412 NE 134TH ST. SUITE 120
VANCOUVER, WA 98685
Phone number: 360-573-4848
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Mailing Address
MIRROR POND DENTAL, LLC
1475 SW CHANDLER AVE STE 201
BEND, OR 97702-3240
Phone number: 541-610-7837
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