| NPI | 1447605506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A PANET-RAYMOND Dentist 503-362-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6920) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |