Individual
MRS. KIMBERLY DAWN DAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1347 TRENT AVE N, KEIZER, OR 97303-7617
(503) 931-0869
Mailing address
1347 TRENT AVE N, KEIZER, OR 97303-7617
(503) 931-0869
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4777
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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