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1801588603
CLOUD NINE NIMBUS DENTAL LLC
BEAVERTON, OR
NPI
1801588603
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Entity Type
Organization
Authorized Contact
SEAN WASDEN
COO
208-965-9415
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
CLOUD NINE NIMBUS DENTAL LLC
8285 SW NIMBUS AVE STE 185
BEAVERTON, OR 97008-6465
Phone number: 503-646-1931
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Mailing Address
CLOUD NINE NIMBUS DENTAL LLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-965-9415
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