| Frideres Dental Llc | |
|
491 E Main Ave Sisters OR 97759-0197 | |
| (541) 549-2011 | |
| (541) 549-4787 |
| Full Name | Frideres Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 491 E Main Ave, Sisters, Oregon |
| Authorized Official Name and Position | Trevor Mathias Bauer Frideres (MEMBER DENTIST) |
| Authorized Official Contact | 5415492011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frideres Dental Llc Po Box 10 Sisters OR 97759-0010 Ph: (541) 549-2011 | Frideres Dental Llc 491 E Main Ave Sisters OR 97759-0197 Ph: (541) 549-2011 |
| NPI Number | 1346704061 |
|---|---|
| Provider Enumeration Date | 01/27/2019 |
| Last Update Date | 01/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346704061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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