| NPI | 1730588542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LASZLO VALACHI Owner 503-702-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D6487) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |