Organization
TODD A SCHOCK PC DMD MD
Active
Other names
facial and oral surgical center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ANN SKAUG (OFFICE MANAGER)
(541) 382-7981
Entity
Organization
Contact information
Practice address
1893 NE NEFF RD, BEND, OR 97701-6112
(541) 382-1791
(541) 389-6953
Mailing address
1893 NE NEFF RD, BEND, OR 97701-6112
(541) 382-1791
(541) 389-6953
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
288477
OR
Other
Enumeration date
08/30/2006
Last updated
10/16/2007
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