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LISA AUSTIN DMD, MSD

Individual Provider (NPI-1) Active

Dentist, Orthodontics and Dentofacial Orthopedics

Provider Information

NPI Number
1518028455
Provider Type
Individual Provider (NPI-1)
Credentials
DMD, MSD
Status
Active

Contact & Location

Address
1245 SE 3RD ST STE A1, BEND, OR, 977022162
Phone
(541) 318-5688

Specialties & Taxonomies

Dentist, Orthodontics and Dentofacial Orthopedics License: CO #10079
Dentist, Orthodontics and Dentofacial Orthopedics Primary License: OR #D8548

All Addresses

LOCATION

1245 SE 3RD ST STE A1

BEND, OR, 977022162

(541) 318-5688

MAILING

1245 SE 3RD ST STE A1

BEND, OR, 977022162

(541) 318-5688