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1942478904
AVENUE DENTAL CARE
GRESHAM, OR
NPI
1942478904
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Entity Type
Organization
Authorized Contact
MAHADEEP S VIRK
Owner
503-465-0005
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D8233)
Enumeration Date
2008-02-13
Last Update Date
2008-02-13
Business Address
AVENUE DENTAL CARE
1388 E POWELL BLVD
GRESHAM, OR 97030-8004
Phone number: 503-465-0005
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Mailing Address
AVENUE DENTAL CARE
1388 E POWELL BLVD
GRESHAM, OR 97030-8004
Phone number: 503-465-0005
Copy
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