| NPI | 1134504004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GRABER Owner/Dentist 503-259-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7923) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |