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1689892465
FAMILY DENTAL GROUP OF NEWPORT PC
NEWPORT, OR
NPI
1689892465
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Entity Type
Organization
Authorized Contact
KENNETH MARK BUILDER
President
541-265-4221
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-04-24
Last Update Date
2012-08-07
Business Address
FAMILY DENTAL GROUP OF NEWPORT PC
123 SE DOUGLAS ST
NEWPORT, OR 97365-4426
Phone number: 541-265-4221
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Mailing Address
FAMILY DENTAL GROUP OF NEWPORT PC
123 SE DOUGLAS ST
NEWPORT, OR 97365
Phone number: 541-265-4221
Copy
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