| NPI | 1467728832 |
|---|---|
| Doing Business As | GORGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW OLSSON Owner 541-387-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8794) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |