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1699258087
PHILIP JORDAN LA LANDE
SALEM, OR
NPI
1699258087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D10904)
Enumeration Date
2018-09-11
Last Update Date
2018-09-25
Business Address
Dr. PHILIP JORDAN LA LANDE DMD
1880 LANCASTER DR NE STE 104
SALEM, OR 97305
Phone number: 503-587-9949
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Mailing Address
Dr. PHILIP JORDAN LA LANDE DMD
1880 LANCASTER DR NE STE 104
SALEM, OR 97305-1040
Phone number: 503-587-9949
Copy
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