| NPI | 1710358700 |
|---|---|
| Doing Business As | WILSONVILLE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | JARID ANDREW BURLEY Member 503-570-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OR D9976) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OR D9148) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |