| NPI | 1851833131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HART Office Manager 541-779-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8673) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8768) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |