| NPI | 1659641504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE G BARRY Owner/Dentist 541-779-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6059) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR 9139) |
| 1223G0001X Dentist, General Practice (Licence: OR 9158) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |