Individual
KAILEE DEFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(541) 408-7896
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(541) 408-7896
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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