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1942427216
BROCK D HERRIGES
PORTLAND, OR
NPI
1942427216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: OR D8371)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. BROCK D HERRIGES DMD
1130 SE 122ND AVE
PORTLAND, OR 97233-1112
Phone number: 503-252-5515
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Mailing Address
Dr. BROCK D HERRIGES DMD
1130 SE 122ND AVE
PORTLAND, OR 97233-1112
Phone number: 503-252-5515
Copy
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