Organization
BEND CHILDREN'S DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY BLAKE FIELD DDS (OWNER)
(949) 228-2123
Entity
Organization
Contact information
Practice address
2190 NE PROFESSIONAL CT STE 200, BEND, OR 97701-6985
(541) 907-1611
Mailing address
2190 NE PROFESSIONAL CT STE 200, BEND, OR 97701-6985
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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