| NPI | 1689183717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAI-UWE H. HAHN Owner Dentist 503-283-1198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9530) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |