| NPI | 1265698351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EDMUNDS Practice Manager 541-388-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D8211) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OR D8490) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |