| NPI | 1386012029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS BEDONT Member/Manager 503-665-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9440) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |