| NPI | 1366259897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR H STRUBLE Owner/Orthodontist 541-848-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |