| NPI | 1649534124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDERSON BENNION Doctor 541-687-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D7367) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |