| NPI | 1346543220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE VALENTINE Dentist 503-254-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9146) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |