Individual
DR. JEFFREY SCOTT VAN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1390 ALPINE LAKES ST SE, SALEM, OR 97317-6976
(216) 394-3140
Mailing address
1390 ALPINE LAKES ST SE, SALEM, OR 97317-6976
(216) 394-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9848
OR
Other
Enumeration date
05/26/2009
Last updated
01/06/2014
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