Individual
KENNETH G. SJOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1090 W HERMISTON AVE, HERMISTON, OR 97838-1583
(541) 567-7118
(541) 564-9040
Mailing address
1090 W HERMISTON AVE, HERMISTON, OR 97838-1583
(541) 567-7118
(541) 564-9040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5098
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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