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Organization

BDG DENTAL LLC

Active
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Organization

BDG DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE L STAHRR DDS (OWNER)
(541) 389-1884
Entity
Organization

Contact information

Practice address
901 NW CARLON AVE APT 1, BEND, OR 97703-2636
(541) 389-1884
Mailing address
901 NW CARLON AVE APT 1, BEND, OR 97703-2636

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215355359
NPI
OR
01
—
1710100318
NPI
OR
01
—
1710449277
NPI
OR
Enumeration date
05/07/2019
Last updated
06/18/2021
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