| NPI | 1649316944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GODZYK President 503-654-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D6678) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |