| NPI | 1699289603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT AARON SMITH Dentist/Owner 503-325-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9578) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |