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Individual

MR. KARL JOHAN PFALZGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
Mailing address
1316 MADISON ST, OREGON CITY, OR 97045-1461
(503) 650-1367

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
114055
OR

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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