| NPI | 1275761116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R MANN President 541-754-6116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6183) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |