Most Relevant Information
Provider Data
| NPI Number: | 1003064247 |
| Provider Name: | KATHLEEN E. RUETER DMD, MS, LLC |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0300X |
| Specialty: | Dentist |
| License Number: | D8905 |
Most Important Dates
| Enumeration Date: | 08/29/2008 |
| Last Updated: | 08/29/2008 |
Provider Practice Location
499 SW UPPER TERRACE DR
SUITE B
BEND
OR
977021582
Practice Location Phone/Fax
| Phone: | 5413887421 |
| Fax: |
Provider Mailing Location
499 SW UPPER TERRACE DR
SUITE B
BEND
OR
977021582
Provider Mailing Phone/Fax
| Phone: | 5413887421 |
| Fax: |