Trevor Mathias Bauer Frideres, D.M.D.

NPI #1629401575 in Sisters, Oregon

Provider Information

NPI Number: 1629401575
Entity Type: Individual
Name: Trevor Mathias Bauer Frideres, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 14, 2013
Last Updated: Jan 27, 2019

Practice Location

Address: 410 E CASCADE AVE
City: Sisters
State: Oregon
ZIP Code: 97759
Phone: (541) 549-9486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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