| NPI | 1154873271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL K. SHEELER Denturist 541-476-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: OR DT-DO-093102) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |