| NPI | 1659611614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH SENESTRARO President 503-228-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D9551) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |