| NPI | 1477645794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN DRYDEN President 541-471-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D8365) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |