institution
Mosaic Medical Dental
Federally Qualified Health Center (FQHC) in Bend, Oregon
NPI 1659888279

Mosaic Medical Dental is a Federally Qualified Health Center (FQHC) based in Bend, OR and is specialized in Federally Qualified Health Center (FQHC). Mosaic Medical Dental practices in Bend, OR. The NPI Number for Mosaic Medical Dental is 1659888279 and holds a License No. (Oregon).

The current practice location address for Mosaic Medical Dental is 2084 Ne Professional Ct, Bend, OR and can be reached out via phone at 541-383-3005 and via fax at 541-383-1883.

Location: 2084 Ne Professional Ct, Bend, OR, 97702-1099
institution
Provider Profile Details
NPI Number
1659888279
Provider Name
Mosaic Medical Dental
Credential
Provider Entity Type
Organization
Address
2084 Ne Professional Ct, Bend, OR, 97702-1099
Phone Number
541-383-3005
Fax Number
541-383-1883
Provider Enumeration Date
01/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182960 05 OR
institution
Provider Business Practice Location Address Details
Address
2084 Ne Professional Ct
City
State
Zip
97701-6077
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider Business Mailing Address Details
Address
2084 Ne Professional Ct
City
State
Zip
97701-6077
Phone Number
541-383-3005
Fax Number
541-383-1883
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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