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Individual

MARC ANDREW NORDSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD PC

Contact information

Practice address
108 NW NEWPORT AVE, BEND, OR 97701-1838
(541) 382-0823
(541) 385-8665
Mailing address
108 NW NEWPORT AVE, BEND, OR 97701-1838
(541) 382-0823
(541) 385-8665

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7335
OR

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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