| NPI | 1730417106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BRENT PAHLS General Dentist 541-396-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D8932) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D8651) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |