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Individual

KENNETH M. SHOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4120 QUEST DR, EUGENE, OR 97402-8768
(541) 688-7278
(541) 334-6604
Mailing address
2941 FLINTLOCK ST, EUGENE, OR 97408-4660
(541) 343-2624
(541) 334-6604

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7719
OR

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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