Individual
DR. PAUL KINGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
408 LANCASTER DR NE, SALEM, OR 97301-4728
(971) 208-7714
Mailing address
408 LANCASTER DR NE, SALEM, OR 97301-4728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10896
OR
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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