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1700982451
SOUTHEAST DENTAL PC
PORTLAND, OR
NPI
1700982451
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Entity Type
Organization
Authorized Contact
OSAMA S BETROUS
Dentist
503-760-7983
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D6838)
Enumeration Date
2006-09-16
Last Update Date
2020-08-22
Business Address
SOUTHEAST DENTAL PC
12661 SE POWELL D
PORTLAND, OR 97236-3900
Phone number: 503-760-7983
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Mailing Address
SOUTHEAST DENTAL PC
12661 SE POWELL D
PORTLAND, OR 97236-3400
Phone number: 503-760-7983
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