| NPI | 1124465372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WENDY FATAFEHI Registered Dental Hygienist 503-440-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H6359) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |