| NPI | 1558617720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A LEON President 503-243-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6087) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |