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Organization
FUNNER DENTALWORKS LLC
Active
Organization
FUNNER DENTALWORKS LLC
Active
Other names
Mill Point Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA LONGLET DDS (OWNER)
(541) 388-0078
Entity
Organization
Contact information
Practice address
775 SW BONNETT WAY STE 100, BEND, OR 97702-2080
(541) 388-0078
Mailing address
775 SW BONNETT WAY STE 100, BEND, OR 97702-2080
(541) 388-0078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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