| NPI | 1043528169 |
|---|---|
| Doing Business As | WILSHIRE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CORNELIUS GEHRED President 503-284-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9242) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |