| NPI | 1326858119 |
|---|---|
| Doing Business As | DR. KELLEY MINGUS |
| Entity Type | Organization |
| Authorized Contact | KELLEY RAY MINGUS Owner 541-382-6565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |