Frideres Dental LLC

NPI #1689182933 in Sisters, Oregon

Provider Information

NPI Number: 1689182933
Entity Type: Organization
Organization Name: Frideres Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 19, 2018
Last Updated: Jan 19, 2018

Practice Location

Address: 410 E CASCADE AVE
City: Sisters
State: Oregon
ZIP Code: 97759-1158
Phone: (406) 431-5058

Authorized Official

Name: TREVOR MATHIAS BAUER FRIDERES, DMD
Title: DENTIST
Phone: (406) 431-5058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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