Brad A. Mckenzie

NPI #1518280072 in Welches, Oregon

Provider Information

NPI Number: 1518280072
Entity Type: Organization
Organization Name: Brad A. Mckenzie
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2010
Last Updated: Mar 11, 2010

Practice Location

Address: 24540 E WELCHES RD
City: Welches
State: Oregon
ZIP Code: 97067
Phone: (503) 622-3085

Authorized Official

Name: DR. BRAD MCKENZIE, D.D.S.
Title: DENTIST
Phone: (503) 622-3085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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