Individual
KIMBERLY KOCAK SCHLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
695 NW YORK DR STE 200, BEND, OR 97703-9702
(541) 316-8051
Mailing address
695 NW YORK DR STE 200, BEND, OR 97703-9702
(541) 316-8051
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D11706
OR
Other
Enumeration date
08/06/2014
Last updated
04/13/2024
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