| NPI | 1295031813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEF SEDIVY President 503-252-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7355) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |