| NPI | 1497841936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY EDWARD COONEY Owner 541-342-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6702) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-06-02 |