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1972925311
FERNANDO VELASQUEZ
ROSEBURG, OR
NPI
1972925311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 61693)
Additional Taxonomies
122300000X Dentist
(Licence: MA DN1856067)
Enumeration Date
2014-01-18
Last Update Date
2015-02-09
Business Address
Dr. FERNANDO VELASQUEZ DMD
913 NW GARDEN VALLEY BLVD DENTAL CLINIC
ROSEBURG, OR 97471-6523
Phone number: 541-440-1242
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Mailing Address
Dr. FERNANDO VELASQUEZ DMD
913 NW GARDEN VALLEY BLVD DENTAL CLINIC
ROSEBURG, OR 97471-6523
Phone number: 541-440-1242
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