| NPI | 1760420467 |
|---|---|
| Doing Business As | ASTORIA DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BECKY L EPLETT Office Manager 541-772-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: OR dt-do849475) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR d8035) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |