| NPI | 1760863096 |
|---|---|
| Doing Business As | SKYLINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZACK JOSEPH PORTER Owner 541-647-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D9091) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |