| NPI | 1316056120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SABIN Pc President 541-947-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR 5818) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR 5818) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-09-11 |