DR. Kenneth Mark Builder, DMD

NPI #1124009816 in Newport, Oregon

Provider Information

NPI Number: 1124009816
Entity Type: Individual
Name: DR. Kenneth Mark Builder, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 9, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 123 SE DOUGLAS ST
City: Newport
State: Oregon
ZIP Code: 97365-4426
Phone: (541) 265-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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