| Deschutes Pediatric Dentistry | |
|
1475 Sw Chandler Ave Suite 202 Bend OR 97702-3238 | |
| (541) 389-9642 | |
| Not Available |
| Full Name | Deschutes Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1475 Sw Chandler Ave, Bend, Oregon |
| Authorized Official Name and Position | Steven Christensen (PRESIDENT) |
| Authorized Official Contact | 5413893073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deschutes Pediatric Dentistry 1475 Sw Chandler Ave Suite 202 Bend OR 97702-3238 Ph: () - | Deschutes Pediatric Dentistry 1475 Sw Chandler Ave Suite 202 Bend OR 97702-3238 Ph: (541) 389-9642 |
| NPI Number | 1023223732 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023223732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Oregon) | Primary |
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