| NPI | 1285919555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRVANA SCHUYLER Dentist/President 503-901-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D8974) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |