DR. Kenneth G Mize, DMDPC

NPI #1255338638 in Sheridan, Oregon

Provider Information

NPI Number: 1255338638
Entity Type: Individual
Name: DR. Kenneth G Mize, DMDPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMDPC
Enumeration Date: Jun 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 411 W MAIN ST
City: Sheridan
State: Oregon
ZIP Code: 97378-1117
Phone: (503) 843-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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