| NPI | 1871735746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVYN SCHNECK Office Manager 541-779-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d9239) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |