Organization
KYLE J. FRISINGER D.M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNA FRISINGER (OWNER/SECRETARY)
(541) 504-0880
Entity
Organization
Contact information
Practice address
845 SW 17TH ST STE 201, REDMOND, OR 97756-2576
(541) 504-0880
(541) 504-9956
Mailing address
845 SW 17TH ST STE 201, REDMOND, OR 97756-2576
(541) 504-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8625
OR
Other
Enumeration date
12/14/2011
Last updated
12/17/2021
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