NPI | 1003063926 |
---|---|
Entity Type | Organization |
Authorized Contact | ERWIN WEICHEL Periodontist/Owner 503-654-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR 5369) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2008-08-21 |