| NPI | 1497823546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILLLIAM BURNS President 503-769-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D6854) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |