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1629103437
MARC T. IWAHIRO
KEIZER, OR
NPI
1629103437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7121)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. MARC T. IWAHIRO DMD
4600 RIVER RD N
KEIZER, OR 97303-4648
Phone number: 503-393-2264
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Mailing Address
Dr. MARC T. IWAHIRO DMD
4600 RIVER RD N
KEIZER, OR 97303-4648
Phone number: 503-393-2264
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