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Individual

TRENTON K LEBARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3975 RIVER RD N STE 5, KEIZER, OR 97303-4811
(503) 393-9106
(503) 393-3053
Mailing address
3975 RIVER N RD 5, KEIZER, OR 97303-4811
(503) 393-9106
(503) 393-3053

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9266
OR

Other

Enumeration date
11/04/2008
Last updated
10/25/2017
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