Individual
MRS. KAYLA BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPDH
Contact information
Practice address
3000 MARKET ST NE STE 228, SALEM, OR 97301-1803
(800) 525-6800
(503) 581-0043
Mailing address
3000 MARKET ST NE STE 228, SALEM, OR 97301-1803
(800) 525-6800
(503) 581-0043
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6963
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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