| NPI | 1356698260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E HOUSTON Owner/Dentist 541-485-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D8791) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-11-23 |