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Search › Oregon › General Practice Dentistry

Kenneth Mize, DMDPC

NPI 1255338638 · on the registry since 2005 · sole proprietor

Practice

Address
411 W Main St
Sheridan, OR 97378
Phone
(503) 843-4433
Fax
(503) 843-4434
Organisation at this address
Kenneth G Mize Dmdpc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon