| NPI | 1124548235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE DECA Dentist/ Owner 503-267-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10377) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OR D10376) |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-03-17 |