NPI | 1912023730 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD M HARRIS President 541-926-7330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR 4628) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |