Individual
DR. JEFFREY ALAN KOBERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1100 SOUTHGATE, SUITE 17, PENDLETON, OR 97801-3974
(541) 276-1561
(541) 276-5743
Mailing address
1616 SW 1ST STREET, PENDLETON, OR 97801
(541) 278-3406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8784
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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