| NPI | 1396283016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS DRYDEN Member 541-484-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D8044) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OR D9767) |
| 1223E0200X Dentist, Endodontics (Licence: OR D10083) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |