| NPI | 1003138116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY H MOGHIMIAN President 503-641-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6683) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |