| NPI | 1023151727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIET MINH TRAN President 503-288-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6709) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-06-26 |