| NPI | 1083963243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEH K EL-EBRASHI Owner 503-226-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OR D8650) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D4764) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |