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1902889900
KENNETH ROBERT GREENBAUM
SALEM, OR
NPI
1902889900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR 4701)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
Dr. KENNETH ROBERT GREENBAUM DDS, MS
2450 LANCASTER DR NE SUITE 200
SALEM, OR 97305-1130
Phone number: 503-362-9548
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Mailing Address
Dr. KENNETH ROBERT GREENBAUM DDS, MS
34 NORTHVIEW CT
LAKE OSWEGO, OR 97035-1072
Phone number: 503-699-7758
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