| NPI | 1376862953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSWALDO GONZALEZ CANTARERO Denturist 503-363-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR DT-DO-10122043) |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2010-05-22 |