Individual
DR. KELLEY RAY MINGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
225 SCALEHOUSE LOOP STE 101, BEND, OR 97702-1241
(541) 382-6565
(541) 382-6776
Mailing address
225 SCALEHOUSE LOOP STE 101, BEND, OR 97702-1241
(541) 382-6565
(541) 382-6776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7191
OR
1223G0001X
General Practice Dentistry
Primary
D7191
OR
Other
Enumeration date
07/14/2005
Last updated
01/13/2025
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