| NPI | 1659567519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S BUGNI President 541-758-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d5150) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |