| NPI | 1235363243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN L STAMBAUGH Dentist 541-746-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6568) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |