| NPI | 1033488838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIYA MANABE President 503-614-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6429) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |