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1649692450
WILLAMETTE
GRESHAM, OR
NPI
1649692450
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Entity Type
Organization
Authorized Contact
SHEIDA KHARRAZI
Dentist
503-310-0923
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR 7585)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
WILLAMETTE
1107 NE BURNSIDE RD
GRESHAM, OR 97030-5710
Phone number: 503-952-2167
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Mailing Address
WILLAMETTE
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2167
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