| NPI | 1922333988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL WOOD President 541-757-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 9301) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR 6864) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |