| NPI | 1831603018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEMINA JANE BEDOLLA Operations Officer 541-844-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D8929) |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2017-11-26 |