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1790201846
AMBERENA LOUISE FAIRLEE
BEND, OR
NPI
1790201846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D10730)
Enumeration Date
2017-08-21
Last Update Date
2022-02-28
Business Address
Dr. AMBERENA LOUISE FAIRLEE DMD
62968 O B RILEY RD STE 12
BEND, OR 97703-9443
Phone number: 855-433-6825
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Mailing Address
Dr. AMBERENA LOUISE FAIRLEE DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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