| NPI | 1306183074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY GABY BASSILI Endodontist 503-432-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D7799) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |