Individual
DINH KHANH LUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(800) 813-2000
Mailing address
5135 SKYLINE RD S, SALEM, OR 97306-9427
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12179
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
01/13/2026
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