NPI | 1558801597 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEL DUDLEY DORAN Dentist 503-224-6317 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9708) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |