Organization
SKYLINE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORIANNE LUMMIS (OFFICE MANAGER)
(541) 389-4807
Entity
Organization
Contact information
Practice address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
(541) 389-4807
Mailing address
2137 NE 4TH ST, BEND, OR 97701-3824
(541) 389-4807
(541) 389-4807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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