| NPI | 1225204670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE LEE FROEHLICH Dentist 503-282-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 6065) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |