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1588749576
PETER W MORITA
PORTLAND, OR
NPI
1588749576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D6363)
Enumeration Date
2006-10-26
Last Update Date
2014-07-16
Business Address
-- PETER W MORITA DMD
2730 SW MOODY AVENUE
PORTLAND, OR 97201-5042
Phone number: 503-494-4316
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Mailing Address
-- PETER W MORITA DMD
17936 SW FREDERICK LN
SHERWOOD, OR 97140-7818
Phone number: 503-625-3955
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