| NPI | 1194002725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANCIS MARKUNAS CEO 503-702-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D7025) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |