| NPI | 1386901734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C. SWIDERSKI Owner 503-581-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |