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Individual

MR. KENNETH NEIL HOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LD

Contact information

Practice address
2300 NW KINGS BLVD, CORVALLIS, OR 97330
(541) 754-0914
Mailing address
1241 OAK ST, EUGENE, OR 97401

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTDO539081
OR

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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