NPI | 1629229273 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY JOHN MAY Owner/Orthodontist 541-779-3003 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OR D5857) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2008-10-01 |