| NPI | 1790172831 |
|---|---|
| Other Name | NORTHWEST EUGENE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAWN A. ECKSTROM Owner 541-686-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7979) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |