NPI | 1508264706 |
---|---|
Doing Business As | COPPERTOP FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | EVAN OLSON Owner 541-923-5927 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9473) |
Enumeration Date | 2014-12-21 |
Last Update Date | 2014-12-21 |