CENTRAL OREGON PERIO
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1336216373- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1569 SW NANCY WAY STE 3, BEND, OR, 97702
- Phone
- (541) 317-0255
- Fax
- (541) 317-0355
Specialties & Taxonomies
Dentist, Periodontics
Primary License: OR #D7709