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1811473515
MATTHEW ROSS
SALEM, OR
NPI
1811473515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D11606)
Additional Taxonomies
122300000X Dentist
(Licence: NV 7076)
Enumeration Date
2018-07-16
Last Update Date
2022-06-26
Business Address
Dr. MATTHEW ROSS DMD
1925 COMMERCIAL ST SE
SALEM, OR 97302-5205
Phone number: 503-363-6892
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Mailing Address
Dr. MATTHEW ROSS DMD
1925 COMMERCIAL ST SE
SALEM, OR 97302-5205
Phone number: 503-363-6892
Copy
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