Individual
DR. WENDY L. KINCAID SMOVIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4855 SW WESTERN AVE., BEAVERTON, OR 97005-3499
(503) 626-4148
Mailing address
4855 SW WESTERN AVE., BEAVERTON, OR 97005-3499
(503) 626-4148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8453
OR
Other
Enumeration date
06/12/2006
Last updated
08/08/2011
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