| NPI | 1518350750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDAH GARFINKLE Owner/Orthodontist 503-246-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D8195) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D4581) |
| 126800000X Dental Assistant (Licence: OR A30227) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |