| NPI | 1730412149 |
|---|---|
| Former Legal Business Name | J. KYLE HOUSE, DDS, PC |
| Entity Type | Organization |
| Authorized Contact | MELLISSA RENNER Regional Operation Manager 541-571-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D7666) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2019-10-07 |