Individual
LARS DAVID KLUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2220 9TH AVE SE, ALBANY, OR 97322-5000
(541) 238-2212
Mailing address
3939 S BOND AVE APT 218, PORTLAND, OR 97239-4663
(208) 935-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12031
OR
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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