| NPI | 1699009605 |
|---|---|
| Former Legal Business Name | WILSHIRE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NEIL GEHRED Doctor 503-284-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D9242) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |