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 |