Organization
KENDALL R. LIDAY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL R LIDAY DDS (OWNER)
(503) 543-4949
Entity
Organization
Contact information
Practice address
33640 E COLUMBIA AVE, SCAPPOOSE, OR 97056-3425
(503) 543-4949
(503) 543-7152
Mailing address
33640 E COLUMBIA AVE, SCAPPOOSE, OR 97056-3425
(503) 543-4949
(503) 543-7152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8458
OR
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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