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Individual

DR. KENNETH DEAN WYLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
325 NE 6TH ST, MCMINNVILLE, OR 97128-4702
(503) 472-6182
Mailing address
325 NE 6TH ST, MCMINNVILLE, OR 97128-4702
(503) 472-6182

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8596
OR

Other

Enumeration date
12/19/2006
Last updated
04/11/2015
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