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1649492851
JAMES ANTHONY DECOSTA
TUALATIN, OR
NPI
1649492851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D5807)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- JAMES ANTHONY DECOSTA DMD
19300 SW BOONES FERRY RD #8
TUALATIN, OR 97062
Phone number: 503-692-0650
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Mailing Address
-- JAMES ANTHONY DECOSTA DMD
19300 SW BOONES FERRY RD #8
TUALATIN, OR 97062
Phone number: 503-692-0650
Copy
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