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1740393925
SUSAN CONNIE SMITH
PORTLAND, OR
NPI
1740393925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 6200)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. SUSAN CONNIE SMITH DMD, PC
5805 SE MILWAUKIE AVE
PORTLAND, OR 97202-5255
Phone number: 503-233-5825
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Mailing Address
Dr. SUSAN CONNIE SMITH DMD, PC
5805 SE MILWAUKIE AVE
PORTLAND, OR 97202-5255
Phone number: 503-233-5825
Copy
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