| NPI | 1629470141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN W JUDD Dentist Anesthesiologist 503-679-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist Dentist Anesthesiologist (Licence: ID D-4613) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-08-12 |