| NPI | 1699927863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUC THAT TON President 503-771-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7171) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2008-10-19 |