NPI | 1528120813 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN N BRILES President Owner 503-224-9130 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6346JohnBriles) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D8116StuartParks) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |