| NPI | 1508315037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MARIE WIMPY Dental Hygienist 541-521-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H2978) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |