| NPI | 1245417450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH MICHAEL SHIRTCLIFF Dentist/Owner/President 541-389-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D-4459) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |