| NPI | 1932266020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. THOMAS President 541-883-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D6822) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |