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1699853143
BRAD S KING
PORTLAND, OR
NPI
1699853143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D6080)
Enumeration Date
2006-11-01
Last Update Date
2016-10-27
Business Address
Dr. BRAD S KING DMD
4506 SE 105TH AVE
PORTLAND, OR 97266
Phone number: 503-760-1818
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Mailing Address
Dr. BRAD S KING DMD
PMB 66636
PORTLAND, OR 97260
Phone number: 503-760-1818
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