KENNETH MARK BUILDER

NEWPORT, OR
NPI1124009816
Professional NameMARK BUILDER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7773)
Enumeration Date2005-11-09
Last Update Date2007-07-08
Business Address
Dr. KENNETH MARK BUILDER DMD
123 SE DOUGLAS ST
NEWPORT, OR 97365-4426
Phone number: 541-265-4221
Mailing Address
Dr. KENNETH MARK BUILDER DMD
PO BOX 1045
NEWPORT, OR 97365-0080
Phone number: 541-265-4221
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