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1881940435
DIANA V. BOKOV
PORTLAND, OR
NPI
1881940435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9766)
Enumeration Date
2012-08-01
Last Update Date
2015-10-15
Business Address
-- DIANA V. BOKOV
3653 SE 34TH AVE
PORTLAND, OR 97202-3034
Phone number: 503-988-4410
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Mailing Address
-- DIANA V. BOKOV
421 SW OAK ST STE. 210
PORTLAND, OR 97204-1817
Phone number: 503-988-7468
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