| NPI | 1558589317 |
|---|---|
| Doing Business As | NORTHWEST ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | VONNY NGANTUNG Orthodontist 503-659-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D8294) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-08-07 |