| NPI | 1194052373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CRAIG ANDERSON Dentist 503-756-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MS 3122-00) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-12-07 |