Jared R. Anderson, Dds, PC

NPI #1760992382 in Bend, Oregon

Provider Information

NPI Number: 1760992382
Entity Type: Organization
Organization Name: Jared R. Anderson, Dds, PC
Subpart: Yes (part of a larger organization)
Parent Organization: JARED R. ANDERSON, DDS, PC
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2017
Last Updated: Oct 10, 2017

Practice Location

Address: 499 SW UPPER TERRACE DR. #B
City: Bend
State: Oregon
ZIP Code: 97702
Phone: (541) 323-3930

Authorized Official

Name: JARED R. ANDERSON, DDS
Title: OWNER
Phone: (541) 323-3930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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