Organization
STRUBLE ORTHODONTICS, LLC
Active
Organization
STRUBLE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR H STRUBLE DMD MSD (ORTHODONTIST, OWNER)
(541) 848-6642
Entity
Organization
Contact information
Practice address
1475 SW CHANDLER AVE STE 202, BEND, OR 97702-3240
(541) 848-6642
Mailing address
1475 SW CHANDLER AVE STE 202, BEND, OR 97702-3240
(541) 848-6642
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9057
OR
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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