| NPI | 1003965922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ELIZABETH SOLIS Dental Assistant 503-381-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR A9701) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-18 |