Frideres Dental LLC

NPI #1346704061 in Sisters, Oregon

Provider Information

NPI Number
1346704061
Entity Type
Organization
Organization Name
Frideres Dental LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRIDERES DENTAL LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 27, 2019
Last Updated
Jan 27, 2019

Practice Location

Address
491 E MAIN AVE
State
Oregon
ZIP Code
97759-0197
Phone
(541) 549-2011

Authorized Official

Name
TREVOR MATHIAS BAUER FRIDERES, D.M.D.
Title
MEMBER DENTIST
Phone
(541) 549-2011

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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