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Individual

ASHLEY B SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
400 SW BOND ST STE 100, BEND, OR 97702-3798
(541) 389-3073
Mailing address
400 SW BOND ST STE 100, BEND, OR 97702-3798
(541) 389-3073
(541) 389-9652

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4861
NV
1223P0221X
Pediatric Dentistry
D10257
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507613
NV
05
500689928
OR
Enumeration date
08/07/2006
Last updated
08/15/2024
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