Individual
MRS. MARY ANN WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., RDH, LAP
Contact information
Practice address
2381 NE CONNERS AVE, BEND, OR 97701-6068
(541) 389-1704
(541) 389-1705
Mailing address
2675 SW 49TH ST, REDMOND, OR 97756-1160
(541) 975-3972
(541) 389-1705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5219
OR
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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