Individual
CYNTHIA KLEINEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
611 SW CAMPUS DR, SD-515, PORTLAND, OR 97239-3001
(503) 494-8904
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D8628
OR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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