| Bend Oral, Facial, And Implant Surgery | |
|
431 Ne Revere Ave Ste 200 Bend OR 97701-4192 | |
| (541) 383-6515 | |
| Not Available |
| Full Name | Bend Oral, Facial, And Implant Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 431 Ne Revere Ave Ste 200, Bend, Oregon |
| Authorized Official Name and Position | Donald Charles Delisi (PRESIDENT) |
| Authorized Official Contact | 5413836515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bend Oral, Facial, And Implant Surgery 431 Ne Revere Ave Ste 200 Bend OR 97701-4192 Ph: (541) 383-6515 | Bend Oral, Facial, And Implant Surgery 431 Ne Revere Ave Ste 200 Bend OR 97701-4192 Ph: (541) 383-6515 |
| NPI Number | 1023272119 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023272119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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