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1760736144
ROBERT L. OTT
PORTLAND, OR
NPI
1760736144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR 4075)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
ROBERT L. OTT D.M.D.
2515 S.E. 179TH AVE.
PORTLAND, OR 97236-1035
Phone number: 503-761-5610
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Mailing Address
ROBERT L. OTT D.M.D.
2515 S.E. 179TH AVE.
PORTLAND, OR 97236-1035
Phone number: 503-761-5610
Copy
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