| NPI | 1699026682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE TERRELL STARR President 503-254-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6202) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |