| Breathe Deep Dental Llc | |
|
61583 Se 27th St Suite Tbd Bend OR 97702 | |
| (541) 262-6101 | |
| Not Available |
| Full Name | Breathe Deep Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 61583 Se 27th St, Bend, Oregon |
| Authorized Official Name and Position | Sophie Rose Morrell Diepenheim (OWNER/MEMBER) |
| Authorized Official Contact | 5412626101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Deep Dental Llc 548 Nw Harmon Blvd Bend OR 97703-3022 Ph: (541) 419-6567 | Breathe Deep Dental Llc 61583 Se 27th St Suite Tbd Bend OR 97702 Ph: (541) 262-6101 |
| NPI Number | 1023729969 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023729969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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