NPI | 1104088756 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS THOMAS ADAIR President/Dentist 503-655-9515 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 5850) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-06-25 |