| NPI | 1770751224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN JEFFREY LEROY Owner/Dentist 541-884-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 4448) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |