Individual
BRENT BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 W ELM AVE, SUITE 280, HERMISTON, OR 97838-2700
(541) 289-1020
(541) 289-1022
Mailing address
1050 W ELM AVE, SUITE 280, HERMISTON, OR 97838-2700
(541) 289-1020
(541) 289-1022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6901
OR
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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