| NPI | 1700201464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN REED WESTOVER Owner/Dentist 503-723-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: OR D7444) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |