| Awbrey Dental Group Pc | |
|
625 Nw Colorado Ave Bend OR 97701-3257 | |
| (541) 383-0754 | |
| Not Available |
| Full Name | Awbrey Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 625 Nw Colorado Ave, Bend, Oregon |
| Authorized Official Name and Position | Peter M Yonan (OWNER) |
| Authorized Official Contact | 5413830754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awbrey Dental Group Pc 625 Nw Colorado Ave Bend OR 97701-3257 Ph: () - | Awbrey Dental Group Pc 625 Nw Colorado Ave Bend OR 97701-3257 Ph: (541) 383-0754 |
| NPI Number | 1437302957 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437302957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6909 (Oregon) | Primary |
| 1223G0001X | Dentist - General Practice | D7490 (Oregon) | Secondary |
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