| NPI | 1265054175 |
|---|---|
| Former Legal Business Name | MEMBERS PLUS DENTAL |
| Entity Type | Organization |
| Authorized Contact | BECKI ROSE Office Administrator 541-418-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2024-08-14 |