| NPI | 1568711257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LESLIE LIESINGER Office Manager 541-269-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR 667595) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |