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1902044761
TRISTAN VITTORIO MARTIN
PORTLAND, OR
NPI
1902044761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60041843)
Enumeration Date
2009-01-30
Last Update Date
2016-04-13
Business Address
DR. TRISTAN VITTORIO MARTIN DMD
17130 SW UPPER BOONES FERRY RD
PORTLAND, OR 97224-7004
Phone number: 503-639-6620
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Mailing Address
DR. TRISTAN VITTORIO MARTIN DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number:
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