Individual
DR. BLAKE QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
461 NE GREENWOOD AVE, BEND, OR 97701-4607
(541) 640-5322
Mailing address
461 NE GREENWOOD AVE, BEND, OR 97701-4607
(541) 640-5322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10866
OR
Other
Enumeration date
09/03/2014
Last updated
12/03/2020
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