# KENNETH KILLPACK, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Dentures & Implants - Vancouver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508698374
- **Authorized official:** KENNETH KILLPACK DDS (OWNER)
- **Authorized official phone:** (360) 254-1307

## Contact information

- **Practice address:** 13503 SE MILL PLAIN BLVD STE B2, VANCOUVER, WA 98684-6992
- **Practice address phone:** (360) 254-1307
- **Mailing address:** 13503 SE MILL PLAIN BLVD STE B2, VANCOUVER, WA 98684-6992
- **Mailing address phone:** (360) 254-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 08/19/2024