Individual
KYLE ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHEP
Contact information
Practice address
24386 BUNKER HILL RD, MONROE, OR 97456-9745
(541) 740-4694
Mailing address
24386 BUNKER HILL RD, MONROE, OR 97456-9745
(541) 740-4694
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6618
OR
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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