| NPI | 1538716675 | 
|---|---|
| Doing Business As | COLLEGE HILL DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | IVAN PASKALEV Officer 541-485-0272  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2019-08-22 | 
| Last Update Date | 2019-08-22 |