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1598238065
WILDWOOD DENTAL LLC
PORTLAND, OR
NPI
1598238065
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Entity Type
Organization
Authorized Contact
ROSS HART
Dentist
971-413-0761
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
WILDWOOD DENTAL LLC
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3784
Phone number: 971-413-0761
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Mailing Address
WILDWOOD DENTAL LLC
8225 N LOMBARD ST STE 103
PORTLAND, OR 97203-3784
Phone number: 971-413-0761
Copy
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