| NPI | 1346538469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES BRATLAND Owner 541-672-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8594) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |