| NPI | 1285089102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR SITNIK President 503-953-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10276) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |