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1619974607
DENNIS CRANDALL NICOLA
PORTLAND, OR
NPI
1619974607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D5433)
Enumeration Date
2005-07-05
Last Update Date
2014-07-25
Business Address
Dr. DENNIS CRANDALL NICOLA D.D.S.
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-346-4725
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Mailing Address
Dr. DENNIS CRANDALL NICOLA D.D.S.
8485 SW CONNEMARA PL
BEAVERTON, OR 97008-6934
Phone number: 503-641-3612
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