NPI 1003064247

Kathleen E. Rueter, DMDMSLLC

Practitioner Periodontics Bend, OR

Practice location

Address: 499 SW Upper Terrace Dr Suite B, Bend, OR 97702-1582
Phone: (541) 388-7421

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence D8905 (OR)

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Registry record

NPI: 1003064247
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2008
Record last updated: 29 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.