Skyline Dental LLC

NPI #1093440208 in Bend, Oregon

Provider Information

NPI Number: 1093440208
Entity Type: Organization
Organization Name: Skyline Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 21, 2022
Last Updated: Jul 21, 2022

Practice Location

Address: 2137 NE 4TH ST
City: Bend
State: Oregon
ZIP Code: 97701-3824
Phone: (541) 389-4807

Authorized Official

Name: CORIANNE LUMMIS
Title: OFFICE MANAGER
Phone: (541) 389-4807

Specialties & Taxonomy Codes

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

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