NPI | 1538435706 |
---|---|
Doing Business As | SERENITY DENTAL |
Entity Type | Organization |
Authorized Contact | LEAH M HICKSON President/Owner 541-686-9545 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D8922) |
Enumeration Date | 2012-04-01 |
Last Update Date | 2012-04-01 |