NPI | 1104156959 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID E DOYLE, JR President 503-855-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D6490) |
Enumeration Date | 2009-12-29 |
Last Update Date | 2015-11-04 |