| NPI | 1306983010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC F BIANCO President Of Corporation 503-252-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6152) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |