| NPI | 1427574136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY ANN BROWN President 541-884-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10646) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |