Individual
KYLE DENMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9303
(503) 571-6969
Mailing address
3341 SE 112TH AVE, PORTLAND, OR 97266
(503) 898-0589
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6297
OR
Other
Enumeration date
09/13/2012
Last updated
03/09/2022
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