| NPI | 1821359639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCOTT GAULKE President 541-386-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D5401) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |