| NPI | 1295083509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRIAN YOUNG Dentist Owner 503-684-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D9430) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |