Individual
JOHN HENRY KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1540 SW 257TH AVE, TROUTDALE, OR 97060-7412
(503) 665-2177
(503) 666-7130
Mailing address
PO BOX 700, TROUTDALE, OR 97060-0700
(503) 665-2177
(503) 666-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5061
OR
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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