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1518940287
KENNETH R BALMFORTH
PORTLAND, OR
NPI
1518940287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D4409)
Enumeration Date
2005-11-27
Last Update Date
2007-07-08
Business Address
DR. KENNETH R BALMFORTH DMD
610 SW ALDER ST SUITE 901
PORTLAND, OR 97205-3625
Phone number: 503-227-1491
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Mailing Address
DR. KENNETH R BALMFORTH DMD
610 SW ALDER ST SUITE 901
PORTLAND, OR 97205-3625
Phone number: 503-227-1491
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