NPI | 1316152002 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA MARIE NEELANDS Secretary 503-253-7814 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D6593) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-08-05 |