| NPI | 1215746300 |
|---|---|
| Doing Business As | WILSONVILLE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ELISA HERRMAN Manager 269-605-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |