Individual
KAYLA MICHELLE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 647-1638
Mailing address
21043 DON ST, BEND, OR 97701-6219
(541) 219-2920
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
157560
OR
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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