| NPI | 1437323839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD H FOTOUHI Dentist 503-614-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7425) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |