| NPI | 1609976745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA V DUVALKO President 503-254-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D7948) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |