KENDALL RAE LIDAY

SCAPPOOSE, OR
NPI1740378223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D8458)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Dr. KENDALL RAE LIDAY DDS
33640 E COLUMBIA AVE
SCAPPOOSE, OR 97056
Phone number: 503-543-4949
Mailing Address
Dr. KENDALL RAE LIDAY DDS
PO BOX 550
SCAPPOOSE, OR 97056-0550
Phone number: 503-543-4949