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1669649901
SANDRA MARIA IACOB
CLACKAMAS, OR
NPI
1669649901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8175)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Ms. SANDRA MARIA IACOB DDS
11808 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9308
Phone number: 503-698-1112
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Mailing Address
Ms. SANDRA MARIA IACOB DDS
11808 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9308
Phone number: 503-698-1112
Copy
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