Organization
FRIDERES DENTAL LLC
Active
Other names
Sisters Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR MATHIAS BAUER FRIDERES DMD (DENTIST)
(406) 431-5058
Entity
Organization
Contact information
Practice address
410 E CASCADE AVE, SISTERS, OR 97759-1158
(406) 431-5058
Mailing address
60748 RIVER BEND DR, BEND, OR 97702-7909
(406) 431-5058
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10577
OR
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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