| NPI | 1184169252 | 
|---|---|
| Doing Business As | COLLEGE HILL DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | MARK P SWENSEN Owner 541-753-8365 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9063) | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D6570) | 
| 1223G0001X Dentist, General Practice (Licence: OR D10522) | |
| Enumeration Date | 2016-12-28 | 
| Last Update Date | 2016-12-28 |