| NPI | 1902244619 |
|---|---|
| Doing Business As | GLIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JED R NORMAN Owner/Dentist 541-672-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D8859) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |