| NPI | 1740271907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN ALLEN TOLMAN Dentist/President 541-451-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8281) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |