Individual
DR. KYLE EDWARD HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11057
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/03/2018
Last updated
12/09/2021
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