| NPI | 1427225549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCDONALD Business Administrator 541-754-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6925) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |