| NPI | 1548434608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EDWARD DEHM Dentist/Owner 541-550-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8737) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2013-02-14 |