| NPI | 1881452878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WAYNE HESTER Owner/Chief Dental Officer 541-410-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |