Organization
DRS KILEY AND ROBERTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM KILEY DMD (CO OWNER)
(503) 648-3125
Entity
Organization
Contact information
Practice address
4440 NE CORNELL RD, HILLSBORO, OR 97124-7315
(503) 648-3125
(503) 640-0519
Mailing address
4440 NE CORNELL RD, HILLSBORO, OR 97124-7315
(503) 648-3125
(503) 640-0519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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