| NPI | 1720235161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J PARK President Of Corporation/Owner 541-344-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D7295) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |