| NPI | 1275040404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPINDER DHADLI Doctor/Owner 503-547-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: OR D7931) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |