Individual
MISS KARA L OPHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1355 EDGEWATER ST NW, SALEM, OR 97304-4077
(503) 588-6960
Mailing address
1835 BROADWAY ST, MELROSE PARK, IL 60160-2040
(708) 548-3727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030570
IL
Other
Enumeration date
05/14/2014
Last updated
10/03/2024
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