| NPI | 1538266713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WAYNE WESTFALL President Owner 541-247-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 4990) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-13 |