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1811104300
VICTORIA NAN MOORE
TUALATIN, OR
NPI
1811104300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D6430)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
VICTORIA NAN MOORE DMD
21352 SW MAKAH CT
TUALATIN, OR 97062-9309
Phone number: 503-691-8376
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Mailing Address
VICTORIA NAN MOORE DMD
21352 SW MAKAH CT.
TUALATIN, OR 97062
Phone number: 503-691-8376
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