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1689697005
JUANITA VALLES ODELL
PORTLAND, OR
NPI
1689697005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D8455)
Enumeration Date
2006-07-26
Last Update Date
2011-07-18
Business Address
Dr. JUANITA VALLES ODELL DMD
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
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Mailing Address
Dr. JUANITA VALLES ODELL DMD
5025 SE 28TH AVE
PORTLAND, OR 97202-4445
Phone number: 503-238-4418
Copy
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