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1730259490
LARRY EDWARD GOEDECK
PRINEVILLE, OR
NPI
1730259490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 4325)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. LARRY EDWARD GOEDECK DMD LLC
257 NE 2ND ST
PRINEVILLE, OR 97754
Phone number: 541-447-5838
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Mailing Address
Dr. LARRY EDWARD GOEDECK DMD LLC
257 NE 2ND ST
PRINEVILLE, OR 97754
Phone number: 541-447-5838
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