| NPI | 1720240427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL V LARSEN Dentist/Owner Of Practice 503-284-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D6853) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |