| NPI | 1518233667 |
|---|---|
| Doing Business As | EAST BEND DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALECIA J JOLLIFFE Practice Manager 541-388-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-06-25 |