MR. Kevin M Tatlock, L.D.

NPI #1649381062 in Ontario, Oregon

Provider Information

NPI Number: 1649381062
Entity Type: Individual
Name: MR. Kevin M Tatlock, L.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: L.D.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 473 SW 12TH ST
City: Ontario
State: Oregon
ZIP Code: 97914-3201
Phone: (541) 889-3282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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