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Individual

DR. ROBERT ANTHONY BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(541) 678-6262
(541) 516-4039
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
(999) 368-0022

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5938
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171037
OR
Enumeration date
01/30/2007
Last updated
09/25/2019
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