| NPI | 1588309280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SPINKS Revenue O PT Imization Analyst 541-508-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |