| Kenneth R Winokur Dmd Pc | |
|
329 S Main St Independence OR 97351 | |
| (503) 838-1633 | |
| (503) 838-4640 |
| Full Name | Kenneth R Winokur Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 329 S Main St, Independence, Oregon |
| Authorized Official Name and Position | Kenneth R Winokur (DENTIST PRESIDENT) |
| Authorized Official Contact | 5038381633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Winokur Dmd Pc 329 S Main St Independence OR 97351 Ph: (503) 838-1633 | Kenneth R Winokur Dmd Pc 329 S Main St Independence OR 97351 Ph: (503) 838-1633 |
| NPI Number | 1710044144 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710044144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6210 (Oregon) | Primary |