| NPI | 1629285143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE President, Owner 503-585-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7244) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-07-21 |