Individual
KAYLA ALLEN BREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1355 EDGEWATER ST NW, SALEM, OR 97304-4077
(503) 588-6960
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11886
OR
1223G0001X
General Practice Dentistry
Primary
D11886
OR
Other
Enumeration date
09/21/2023
Last updated
04/09/2025
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