| NPI | 1659546547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT MILES WESTOVER Dentist 503-666-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR 6868) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2018-06-21 |