| NPI | 1790239697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BRATLAND Owner 541-492-1687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8594) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |