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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