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1760722508
JEFFREY FIRESTONE DDS PC
PORTLAND, OR
NPI
1760722508
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Entity Type
Organization
Authorized Contact
JEFFREY FIRESTONE
Owner
503-542-2580
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: OR D9106)
Enumeration Date
2013-02-14
Last Update Date
2013-02-14
Business Address
JEFFREY FIRESTONE DDS PC
732 SW 3RD AVE SUITE 202
PORTLAND, OR 97204-2416
Phone number: 503-542-2580
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Mailing Address
JEFFREY FIRESTONE DDS PC
732 SW 3RD AVE SUITE 202
PORTLAND, OR 97204-2416
Phone number:
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