| NPI | 1396010575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT DOUGLAS BURNETT Owner/Dentist 541-754-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7437) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |