| NPI | 1861712846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA LORRAINE BECK General Dentist/Owner 541-482-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 9275) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |