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1609955772
ROGER DONALD DIMICK
TIGARD, OR
NPI
1609955772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 4319)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- ROGER DONALD DIMICK DMD
11565 SW HALL BLVD STE C
TIGARD, OR 97223-8493
Phone number: 503-670-7088
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Mailing Address
-- ROGER DONALD DIMICK DMD
5060 GREENSBOROUGH CT
LAKE OSWEGO, OR 97035-8748
Phone number: 503-670-7088
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