| NPI | 1194010660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS PATON MITCHELL Manager 541-924-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D8977) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |