| NPI | 1003046731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L WIELAND Partner 503-682-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d7842) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-08-04 |