Organization
BEND TOOTHFAIRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRYSTA BUEHRIG RDH, EPDH (OWNER)
(541) 515-7228
Entity
Organization
Contact information
Practice address
61394 COACHMAN WAY, BEND, OR 97702-3840
(541) 515-7228
Mailing address
61394 COACHMAN WAY, BEND, OR 97702-3840
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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