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1841200946
MARVIN A PETERSON
PORTLAND, OR
NPI
1841200946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D5183)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- MARVIN A PETERSON DMD PC
511 SW 10TH AVE SUITE #707
PORTLAND, OR 97205-2732
Phone number: 503-223-4411
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Mailing Address
-- MARVIN A PETERSON DMD PC
511 SW 10TH AVE SUITE #707
PORTLAND, OR 97205-2732
Phone number: 503-223-4411
Copy
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