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1740683465
82ND DRIVE DENTAL CLINIC
CLACKAMAS, OR
NPI
1740683465
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Entity Type
Organization
Authorized Contact
BRADLEY W CARPENTER
Owner/ Dentist
503-655-7250
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8618)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
82ND DRIVE DENTAL CLINIC
15480 SE 82ND DR
CLACKAMAS, OR 97015-9633
Phone number: 503-655-7250
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Mailing Address
82ND DRIVE DENTAL CLINIC
PO BOX 446
CLACKAMAS, OR 97015-0446
Phone number: 503-655-7250
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