NPI | 1396085221 |
---|---|
Doing Business As | BEAR CREEK PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BREN DIXON Member 541-773-3327 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9739) |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |