| NPI | 1194080481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN PHILIPS Owner/Manager 541-944-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H2043) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |