| NPI | 1184831083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON WILLARD HERINGER Partner 503-364-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR 7703) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR 4631) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |