| NPI | 1437302957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M YONAN Owner 541-383-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6909) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D7490) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |