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1588813992
JUSTIN RYAN GOODMAN
CLACKAMAS, OR
NPI
1588813992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9165)
Enumeration Date
2008-09-10
Last Update Date
2010-01-22
Business Address
Dr. JUSTIN RYAN GOODMAN DDS
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015-9798
Phone number: 503-353-9992
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Mailing Address
Dr. JUSTIN RYAN GOODMAN DDS
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015-9798
Phone number: 503-353-9992
Copy
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