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1699773770
JAY M WYLAM
SALEM, OR
NPI
1699773770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR 6637)
Enumeration Date
2005-07-12
Last Update Date
2007-07-08
Business Address
Dr. JAY M WYLAM DMD
2605 12TH PL SE
SALEM, OR 97302-2576
Phone number: 503-585-4281
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Mailing Address
Dr. JAY M WYLAM DMD
2605 12TH PL SE
SALEM, OR 97302-2576
Phone number: 503-585-4281
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