| 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 |