| NPI | 1003196536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RALPH DUFFIN Owner/Dentist 503-393-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D7025) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |