| NPI | 1912304528 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELISE POREMSKI BURRUS Pediatric Dentist 541-923-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |