Marc Andrew Nordstrom, DMD PC

NPI #1013077650 in Bend, Oregon

Provider Information

NPI Number: 1013077650
Entity Type: Individual
Name: Marc Andrew Nordstrom, DMD PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD PC
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 108 NW NEWPORT AVE
City: Bend
State: Oregon
ZIP Code: 97701-1838
Phone: (541) 382-0823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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