| NPI | 1154726917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BANU RAMKRISHNA Owner Dentist 503-356-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8822) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |