| NPI | 1538440763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAMES LEVINE Prosthodontist 541-686-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OR 06549) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |