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1629107123
FREDRICK C. THOMPSON
GRESHAM, OR
NPI
1629107123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR d8225)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Dr. FREDRICK C. THOMPSON DMD
1867 NW CIVIC DR
GRESHAM, OR 97030-5566
Phone number: 503-661-6613
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Mailing Address
Dr. FREDRICK C. THOMPSON DMD
1867 NW CIVIC DR
GRESHAM, OR 97030-5566
Phone number: 503-661-6613
Copy
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