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1952463804
GREGORY THOMAS GOODLIN
PORTLAND, OR
NPI
1952463804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D7070)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- GREGORY THOMAS GOODLIN DMD
11769 NE GLISON ST
PORTLAND, OR 97220
Phone number: 503-252-9901
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Mailing Address
-- GREGORY THOMAS GOODLIN DMD
11769 NE GLISAN ST
PORTLAND, OR 97220
Phone number: 503-252-9901
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