K & L Oms LLC

NPI #1063942043 in Bend, Oregon

Provider Information

NPI Number: 1063942043
Entity Type: Organization
Organization Name: K & L Oms LLC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Jun 13, 2017
Last Updated: Jan 10, 2023

Practice Location

Address: 1475 SW CHANDLER AVE STE 101
City: Bend
State: Oregon
ZIP Code: 97702-3239
Phone: (541) 617-3993

Authorized Official

Name: KEITH E KRUEGER, D.M.D.
Title: OWNER
Phone: (541) 617-3993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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