| NPI | 1700522489 |
|---|---|
| Doing Business As | WATERFALL DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANDREA TRENNER CEO 541-756-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-06 |