Individual
TREVOR MATHIAS BAUER FRIDERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
410 E CASCADE AVE, SISTERS, OR 97759
(541) 549-9486
(541) 549-9110
Mailing address
PO BOX 1027, SISTERS, OR 97759-1027
(541) 549-9486
(541) 549-9110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60394053
WA
1223G0001X
General Practice Dentistry
Primary
D10577
OR
Other
Enumeration date
08/14/2013
Last updated
01/27/2019
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