NPI | 1295902336 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C REGAN Dentist 503-654-8283 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6536) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2021-05-12 |