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1669717393
HOLLY STREET DENTAL, LLC
CANBY, OR
NPI
1669717393
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Entity Type
Organization
Authorized Contact
C STEVEN HAGLER
Dentist
503-266-1117
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
HOLLY STREET DENTAL, LLC
300 N HOLLY ST
CANBY, OR 97013-3739
Phone number: 503-266-1117
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Mailing Address
HOLLY STREET DENTAL, LLC
300 N HOLLY ST
CANBY, OR 97013-3739
Phone number: 503-266-1117
Copy
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