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1891450185
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
PORTLAND, OR
NPI
1891450185
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Entity Type
Organization
Authorized Contact
CRISTINA WATERMAN
Associate Dentist
503-292-6773
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
8568 SW APPLE WAY
PORTLAND, OR 97225-1772
Phone number: 503-292-6773
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Mailing Address
ZOLA DENTAL RALEIGH PARK LLC, DR. ANTHONY PAVENTY DMD
8568 SW APPLE WAY
PORTLAND, OR 97225-1772
Phone number: 503-292-6773
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