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1932213949
THOMAS RICHARD MADISON
PORTLAND, OR
NPI
1932213949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR d6647)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
Dr. THOMAS RICHARD MADISON dds
1020 NE 2ND AVE SUITE 300
PORTLAND, OR 97232-2064
Phone number: 503-230-7978
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Mailing Address
Dr. THOMAS RICHARD MADISON dds
1020 NE 2ND AVE SUITE 300
PORTLAND, OR 97232-2064
Phone number: 503-230-7978
Copy
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