Individual
BENJAMIN TODD GRIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
(541) 382-0392
(541) 383-7170
Mailing address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
(541) 382-0392
(541) 383-7170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8311
OR
Other
Enumeration date
11/15/2006
Last updated
03/04/2009
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