| NPI | 1861728115 |
|---|---|
| Doing Business As | ELM STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN MILLER Office Manager 541-928-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D7193) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2013-04-15 |