| NPI | 1558334060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KEITH EWERT Owner/Dentist 541-741-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7190) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |