NPI | 1073286183 |
---|---|
Doing Business As | MCKENZIE RIVER DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN C SCHILT President 541-736-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-26 |
Last Update Date | 2021-07-26 |