KYLE H. VAN

BEAVERTON, OR
NPI1770570251
Professional NameKYLE H. VAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D7871)
Enumeration Date2005-09-30
Last Update Date2007-07-08
Business Address
KYLE H. VAN D.D.S.
16755 SW BASELINE RD
BEAVERTON, OR 97006-4241
Phone number: 503-533-4001
Mailing Address
KYLE H. VAN D.D.S.
420 NW 11TH AVE
PORTLAND, OR 97209-2972
Phone number: 503-702-3565
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