Kevin Reed Packham, DMD

NPI #1285629766 in Milwaukie, Oregon

Provider Information

NPI Number: 1285629766
Entity Type: Individual
Name: Kevin Reed Packham, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Sep 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2403 SE MONROE ST
Address 2: SUITE C
City: Milwaukie
State: Oregon
ZIP Code: 97222-7646
Phone: (503) 654-5995

Specialties & Taxonomy Codes

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

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