Individual
DR. KENNETH R WINOKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
329 SOUTH MAIN ST, INDEPENDENCE, OR 97351
(503) 838-1633
(503) 838-4640
Mailing address
329 S MAIN ST, INDEPENDENCE, OR 97351
(503) 838-1633
(503) 838-4640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6210
OR
Other
Enumeration date
11/14/2005
Last updated
12/22/2015
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