Organization
BENJAMIN T. GRIEB DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GRIEB DMD (PRESIDENT)
(541) 382-0392
Entity
Organization
Contact information
Practice address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
(541) 382-0392
Mailing address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8311
OR
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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