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Individual

JEFFERSON CALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2831 SW CORNELIUS PASS RD, SUITE 100, HILLSBORO, OR 97123-6740
(503) 642-5800
Mailing address
2831 SW CORNELIUS PASS RD, SUITE 100, HILLSBORO, OR 97123-6740
(503) 642-5800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8566
OR

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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