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1972231413
VANCOUVER DG LLC
BEAVERTON, OR
NPI
1972231413
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Entity Type
Organization
Authorized Contact
RYAN SMITH
Manager
971-708-9540
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
VANCOUVER DG LLC
1185 NW 178TH AVE
BEAVERTON, OR 97006-3364
Phone number: 971-708-9540
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Mailing Address
VANCOUVER DG LLC
1185 NW 178TH AVE
BEAVERTON, OR 97006-3364
Phone number:
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