Organization
FUNNER DENTALWORKS LLC
Active
Other names
Mill Point Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA LONGLET DDS (OWNER)
(541) 388-0078
Entity
Organization
Contact information
Practice address
775 SW BONNETT WAY STE 100, BEND, OR 97702-2080
(541) 388-0078
Mailing address
775 SW BONNETT WAY STE 100, BEND, OR 97702-2080
(541) 388-0078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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