| NPI | 1609968007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIAD ANTONIOUS HAZIM President 503-761-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7022) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |