| NPI | 1528102738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W LEE Owner 541-926-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D6359) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |