NPI | 1114063542 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY D CARL President 541-926-6089 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7214) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |