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1679274005
PHILIP DIMITRI HORNING
BEND, OR
NPI
1679274005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR d11966)
Enumeration Date
2023-03-13
Last Update Date
2024-09-17
Business Address
PHILIP DIMITRI HORNING
812 NW YORK DR STE 100
BEND, OR 97703-6746
Phone number: 541-200-7798
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Mailing Address
PHILIP DIMITRI HORNING
2716 NE ROSEMARY DR
BEND, OR 97701-7751
Phone number: 541-640-9524
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