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1952718405
CHARLES DANIEL KNECHTEL
ROSEBURG, OR
NPI
1952718405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10374)
Additional Taxonomies
122300000X Dentist
(Licence: WA DE60501263)
Enumeration Date
2014-07-16
Last Update Date
2015-11-18
Business Address
-- CHARLES DANIEL KNECHTEL DDS
2365 NW STEWART PKWY
ROSEBURG, OR 97471-5653
Phone number: 503-952-2125
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Mailing Address
-- CHARLES DANIEL KNECHTEL DDS
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 503-952-2125
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