| Bend Children's Dentistry, Llc | |
|
2190 Ne Professional Ct Ste 200 Bend OR 97701-6985 | |
| (541) 907-1611 | |
| Not Available |
| Full Name | Bend Children's Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2190 Ne Professional Ct Ste 200, Bend, Oregon |
| Authorized Official Name and Position | Bradley Blake Field (OWNER) |
| Authorized Official Contact | 9492282123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bend Children's Dentistry, Llc 2190 Ne Professional Ct Ste 200 Bend OR 97701-6985 Ph: () - | Bend Children's Dentistry, Llc 2190 Ne Professional Ct Ste 200 Bend OR 97701-6985 Ph: (541) 907-1611 |
| NPI Number | 1013674548 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013674548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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