| NPI | 1316243660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD A HARPER Owner 541-726-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OR 5382) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2014-10-09 |