| 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 |