| NPI | 1144657594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LESLIE LIESINGER Office Manager 541-673-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D5545) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |