NPI | 1346033644 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON MALONEY WOODS Orthodontist Partner 541-382-6822 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2025-05-28 |
Last Update Date | 2025-05-28 |