Organization
KYLE VALENTINE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE VALENTINE D.M.D. (DENTIST)
(503) 254-5593
Entity
Organization
Contact information
Practice address
10000 SE MAIN ST STE 20, PORTLAND, OR 97216-2461
(503) 254-5593
(503) 253-3878
Mailing address
10000 SE MAIN ST STE 20, PORTLAND, OR 97216-2461
(503) 254-5593
(503) 253-3878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9146
OR
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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