| NPI | 1649584400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ROBERT BENSCHOTER Dentist/Sole Member 541-276-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D5269) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |