NPI | 1609864396 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM LIEN T HOANG President 503-246-3034 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6734) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2020-08-22 |