| NPI | 1093746174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RIPPLINGER Office Manager 541-779-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: OR D7720) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |