Individual
LYNN D. MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4509 S 6TH ST, SUITE 302, KLAMATH FALLS, OR 97603-4880
(541) 883-2630
(541) 883-2630
Mailing address
4509 S 6TH ST, SUITE 302, KLAMATH FALLS, OR 97603-4880
(541) 883-2630
(541) 883-2630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5883
OR
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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