| Deeply Rooted Dentistry, Llc | |
|
461 Ne Greenwood Ave Suite C Bend OR 97701 | |
| (541) 678-5060 | |
| (541) 306-4004 |
| Full Name | Deeply Rooted Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 461 Ne Greenwood Ave, Bend, Oregon |
| Authorized Official Name and Position | Paul H Kim (DENTIST/OWNER) |
| Authorized Official Contact | 5416785060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deeply Rooted Dentistry, Llc 461 Ne Greenwood Ave Suite C Bend OR 97701 Ph: (541) 678-5060 | Deeply Rooted Dentistry, Llc 461 Ne Greenwood Ave Suite C Bend OR 97701 Ph: (541) 678-5060 |
| NPI Number | 1871205393 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871205393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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