| NPI | 1790229383 |
|---|---|
| Doing Business As | ANGELLIFT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JIM B HALES Dentist/Owner 541-474-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D6777) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: OR D6777) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |