ROGER BRENT LAWRENCE

PORTLAND, OR
NPI1821053521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D6374)
Enumeration Date2006-04-18
Last Update Date2007-07-08
Business Address
Dr. ROGER BRENT LAWRENCE DMD
5415 SW WESTGATE DR SUITE 206
PORTLAND, OR 97221-2409
Phone number: 503-292-1173
Mailing Address
Dr. ROGER BRENT LAWRENCE DMD
5415 SW WESTGATE DR SUITE 206
PORTLAND, OR 97221-2409
Phone number: 503-292-1173
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