| NPI | 1235404492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A BASE Owner/Dentist 503-256-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D6511) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |