| NPI | 1689936049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KELDSEN Dentist/Owner 541-389-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8854) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |