| NPI | 1316391857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA RUIZ Front Office 541-758-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 1223G0001X) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |