Individual
KYLE B VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10000 SE MAIN ST, SUITE 20, PORTLAND, OR 97216-2448
(503) 254-5593
Mailing address
21435 MILES DR, WEST LINN, OR 97068-2880
(503) 367-7617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9146
OR
Other
Enumeration date
07/30/2008
Last updated
12/01/2010
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