| NPI | 1336575273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA A SPROUL Dentist 541-689-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9774) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |