NPI | 1134485691 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON D TINKLE President/Treating Dentist 503-234-1218 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D8766) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-04-09 |