| NPI | 1437601713 |
|---|---|
| Other Name | GRESHAM DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | KENNETH R WRIGHT VP Dental Care Services 503-813-4660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2021-06-01 |