THEODORE KEITH DHEIN

PORTLAND, OR
NPI1629308648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT00524581)
Enumeration Date2010-01-14
Last Update Date2010-01-14
Business Address
-- THEODORE KEITH DHEIN L.D.
8064 S.E. HAROLD ST.
PORTLAND, OR 97206-5148
Phone number: 503-777-6014
Mailing Address
-- THEODORE KEITH DHEIN L.D.
8064 S.E. HAROLD ST.
PORTLAND, OR 97206-5148
Phone number: 503-777-6014
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