| NPI | 1518453570 |
|---|---|
| Doing Business As | CORVALLIS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ROSE GREYSLAK Dentist 503-830-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D10104) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OR D10127) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |