| Struble Orthodontics, Llc | |
|
1475 Sw Chandler Ave Ste 202 Bend OR 97702-3240 | |
| (541) 848-6642 | |
| Not Available |
| Full Name | Struble Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1475 Sw Chandler Ave Ste 202, Bend, Oregon |
| Authorized Official Name and Position | Blair H Struble (ORTHODONTIST, OWNER) |
| Authorized Official Contact | 5418486642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Struble Orthodontics, Llc 1475 Sw Chandler Ave Ste 202 Bend OR 97702-3240 Ph: (541) 848-6642 | Struble Orthodontics, Llc 1475 Sw Chandler Ave Ste 202 Bend OR 97702-3240 Ph: (541) 848-6642 |
| NPI Number | 1669742441 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669742441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D9057 (Oregon) | Primary |
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