| NPI | 1750698809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI MAY Office Manager 541-265-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR 5200) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |