| NPI | 1528585775 |
|---|---|
| Doing Business As | LEBANON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY W BLATTER President 541-600-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |