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1831253335
MARK JAMES VANDUSEN
BEAVERTON, OR
NPI
1831253335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR D6936)
Enumeration Date
2006-12-20
Last Update Date
2015-05-14
Business Address
Dr. MARK JAMES VANDUSEN DMD
4925 SW GRIFFITH DR
BEAVERTON, OR 97005-2923
Phone number: 503-277-2014
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Mailing Address
Dr. MARK JAMES VANDUSEN DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2164
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