| NPI | 1487886073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M. MULFORD President 541-686-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8296) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |