| NPI | 1548259252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H FRICK DMD President 503-666-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR 4622 P) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |