| NPI | 1386811719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R MORICH Dentist 503-243-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7954) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |