NPI | 1295092054 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLIMAR CONAHUATE DI GIULIO Dentist/Owner 541-389-2885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8868) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-04-18 |