Individual
DR. CHELSEA LONGLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
775 SW BONNETT WAY, BEND, OR 97702-2080
(541) 388-0078
Mailing address
775 SW BONNETT WAY, BEND, OR 97702-2080
(541) 388-0078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10404
OR
122300000X
Dentist
D13379
MN
Other
Enumeration date
05/27/2014
Last updated
03/12/2018
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