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1720197429
FREDERICK J GANJI
BEAVERTON, OR
NPI
1720197429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00010130)
Enumeration Date
2006-08-29
Last Update Date
2009-04-06
Business Address
Mr. FREDERICK J GANJI DDS
16755 SW BASELINE RD SUITE 106
BEAVERTON, OR 97006-4241
Phone number: 503-533-4001
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Mailing Address
Mr. FREDERICK J GANJI DDS
16755 SW BASELINE RD SUITE 106
BEAVERTON, OR 97006-4241
Phone number: 503-533-4001
Copy
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