| 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 |