Organization
AWBREY DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER M YONAN (OWNER)
(541) 383-0754
Entity
Organization
Contact information
Practice address
625 NW COLORADO AVE, BEND, OR 97701-3257
(541) 383-0754
Mailing address
625 NW COLORADO AVE, BEND, OR 97701-3257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6909
OR
1223G0001X
General Practice Dentistry
D7490
OR
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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