| NPI | 1336216373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS W MISISCHIA President 541-317-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR D7709) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-07-09 |