| NPI | 1306221445 |
|---|---|
| Other Name | ELIZABETH A. VIVONA DOW |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A. VIVONA Dentist 541-683-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9649) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |