| NPI | 1497072698 |
|---|---|
| Doing Business As | GREAT NORTH WEST SMILES |
| Entity Type | Organization |
| Authorized Contact | JOHN UNSICKER Owner 503-981-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: OR DT-DO-10130778) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |