| NPI | 1679091078 |
|---|---|
| Doing Business As | OREGON TECH DENTAL CLINIC-KLAMATH FALLS |
| Entity Type | Organization |
| Authorized Contact | VIVIAN CHEN Contracts Officer And Legal Liaison 503-821-1266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |