| NPI | 1023568631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT ZOLLINGER Owner 503-648-6671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10036) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |