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 |