| NPI | 1669742441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR H STRUBLE Orthodontist, Owner 541-848-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: OR D9057) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |