| NPI | 1346663895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. RICHARDSON Dentist 541-269-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 4865) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |