| NPI | 1578773933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NORMAN MATSCHEK Dentist President 503-291-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR 4748) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |