| NPI | 1255690699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M THATCHER Owner 541-686-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 5999) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |