| NPI | 1104148816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LARSON HUNSAKER Dentist/Owner 503-363-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6671) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |