| NPI | 1093087884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA F DELEON Owner 503-469-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7477) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |