| NPI | 1790192342 |
|---|---|
| Doing Business As | KEIZER SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENTON LEBARON Member 503-393-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9266) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |