Deeply Rooted Dentistry, LLC

NPI #1871205393 in Bend, Oregon

Provider Information

NPI Number: 1871205393
Entity Type: Organization
Organization Name: Deeply Rooted Dentistry, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DEEPLY ROOTED DENTISTRY, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 461 NE GREENWOOD AVE
Address 2: SUITE C
City: Bend
State: Oregon
ZIP Code: 97701
Phone: (541) 678-5060

Authorized Official

Name: DR. PAUL H KIM, DMD
Title: DENTIST/OWNER
Phone: (541) 678-5060

Specialties & Taxonomy Codes

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

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