| NPI | 1083986673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D BETTIS Owner 541-673-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D4498) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |