| NPI | 1326039025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN S HUDDLESTON Owner 541-476-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 7749) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR 7749) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-05-03 |