| NPI | 1295951929 |
|---|---|
| Doing Business As | CORVALLIS ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | GLEN S GERDES Owner 541-758-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D6324) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-12 |