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1790037182
MULTNOMAH VILLAGE DENTAL CARE
PORTLAND, OR
NPI
1790037182
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Entity Type
Organization
Authorized Contact
LISA K JENSEN
Dentist
503-246-2564
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
MULTNOMAH VILLAGE DENTAL CARE
7717 SW 34TH AVE
PORTLAND, OR 97219-1725
Phone number: 503-246-2564
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Mailing Address
MULTNOMAH VILLAGE DENTAL CARE
7717 SW 34TH AVE
PORTLAND, OR 97219-1725
Phone number: 503-246-2564
Copy
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