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1003015496
KENNETH BYRON WILTBANK
LAKE OSWEGO, OR
NPI
1003015496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D7468)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
Dr. KENNETH BYRON WILTBANK D.M.D.
320 A AVE
LAKE OSWEGO, OR 97034-3056
Phone number: 503-636-3383
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Mailing Address
Dr. KENNETH BYRON WILTBANK D.M.D.
320 A AVENUE
LAKE OSWEGO, OR 97034
Phone number: 503-636-3383
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