| NPI | 1467845446 |
|---|---|
| Doing Business As | WILLAMETTE VALLEY PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RONALD JAMES LEVINE Owner 541-686-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-10-19 |