DR. Kenneth Byron Wiltbank, D.M.D.

NPI #1003015496 in Lake Oswego, Oregon

Provider Information

NPI Number: 1003015496
Entity Type: Individual
Name: DR. Kenneth Byron Wiltbank, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 320 A AVE
City: Lake Oswego
State: Oregon
ZIP Code: 97034-3056
Phone: (503) 636-3383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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