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 |