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1912072067
JEFFERY EDWIN REDDICKS
TIGARD, OR
NPI
1912072067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR D6775)
Enumeration Date
2006-11-22
Last Update Date
2015-06-01
Business Address
Dr. JEFFERY EDWIN REDDICKS DMD
7095 SW GONZAGA ST
TIGARD, OR 97223-8309
Phone number: 503-620-6715
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Mailing Address
Dr. JEFFERY EDWIN REDDICKS DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2164
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