Individual
DR. AMBERENA LOUISE FAIRLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
62968 O B RILEY RD STE 12, BEND, OR 97703-9443
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10730
OR
Other
Enumeration date
08/21/2017
Last updated
02/28/2022
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