| NPI | 1184163024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH ADAM HOLLAND Dentist 541-474-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10019) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |