NPI | 1912249566 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C SCHLEGEL Owner 541-757-1566 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OR D4771) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2013-03-21 |