| NPI | 1356604516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KYANH PHAN Doctor Of Dental Medicine. Owner. 503-774-3546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6465) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |