| NPI | 1750896445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED R ADAMS Practice Owner/Dentist 541-382-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D10431) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2023-05-19 |