| NPI | 1306364625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID HARDMAN Dentist/President 503-706-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NV 6717) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |