| NPI | 1154711687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MERLE ALEX President 541-779-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OR D4909) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |