| NPI | 1053768184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MILOT Owner/Dentist 503-719-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9409) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-11-08 |