| NPI | 1336577824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO MARCEL ARREDONDO Doctor/Owner 541-241-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D8423) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2022-05-03 |