NPI | 1043377443 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ANTHONY SERVICE Owner 503-230-7991 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 3903) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-06-17 |