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Individual

DR. MARK NOBLE FRED REAKSECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15230 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 655-9000
Mailing address
15230 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 655-9000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6502
OR

Other

Enumeration date
08/23/2005
Last updated
03/16/2009
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