NPI | 1699818088 |
---|---|
Entity Type | Organization |
Authorized Contact | KHIET MINH TRAN President 503-646-5230 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OR D6709) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2015-06-26 |