| NPI | 1366738858 |
|---|---|
| Former Legal Business Name | A KIDZ DENTAL ZONE OF EUGENE, LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARDSON Dr. / Owner 541-844-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2014-06-17 |