| Bdg Dental Llc | |
|
901 Nw Carlon Ave Apt 1 Bend OR 97703-2636 | |
| (541) 389-1884 | |
| Not Available |
| Full Name | Bdg Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 901 Nw Carlon Ave Apt 1, Bend, Oregon |
| Authorized Official Name and Position | Katherine L Stahrr (OWNER) |
| Authorized Official Contact | 5413891884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bdg Dental Llc 901 Nw Carlon Ave Apt 1 Bend OR 97703-2636 Ph: () - | Bdg Dental Llc 901 Nw Carlon Ave Apt 1 Bend OR 97703-2636 Ph: (541) 389-1884 |
| NPI Number | 1184289845 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184289845 | NPI | - | NPPES |
| 1215355359 | Other | OR | NPI |
| 1710100318 | Other | OR | NPI |
| 1710449277 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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