| NPI | 1649937426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAJMEH HANNANVASH Pediatric Dentist/Owner 503-888-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-02-15 |