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1831417245
STATEWIDE DENTAL SERVICE, PC
SPRINGFIELD, OR
NPI
1831417245
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Entity Type
Organization
Authorized Contact
CEDRIC ROSS HAYDEN
President
541-393-7000
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D6958)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
STATEWIDE DENTAL SERVICE, PC
498 HARLOW RD STE 3
SPRINGFIELD, OR 97477-1339
Phone number: 541-393-7000
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Mailing Address
STATEWIDE DENTAL SERVICE, PC
498 HARLOW RD STE 3
SPRINGFIELD, OR 97477-1339
Phone number: 541-393-7000
Copy
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