Individual
JULIANA PANCHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
569 NE CLAY AVE, BEND, OR 97701-5158
(541) 771-1765
Mailing address
21651 DALE RD, BEND, OR 97701-8819
(541) 771-1765
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32603
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D6633
OR
Other
Enumeration date
04/24/2007
Last updated
05/22/2025
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