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1770570251
KYLE H. VAN
BEAVERTON, OR
NPI
1770570251
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Professional Name
KYLE H. VAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7871)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
-- KYLE H. VAN D.D.S.
16755 SW BASELINE RD
BEAVERTON, OR 97006-4241
Phone number: 503-533-4001
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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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