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1902277551
HOLLYWOOD FAMILY DENTISTRY
PORTLAND, OR
NPI
1902277551
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Entity Type
Organization
Authorized Contact
JEREMY KATO
Co Owner
503-281-9612
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: OR D8790)
Enumeration Date
2015-10-08
Last Update Date
2015-10-08
Business Address
HOLLYWOOD FAMILY DENTISTRY
1735 NE 40TH AVE
PORTLAND, OR 97212-5307
Phone number: 503-281-9612
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Mailing Address
HOLLYWOOD FAMILY DENTISTRY
1735 NE 40TH AVE
PORTLAND, OR 97212-5307
Phone number:
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