| NPI | 1730755877 |
|---|---|
| Former Legal Business Name | DENTITION LABS, LLC |
| Entity Type | Organization |
| Authorized Contact | ALEX VO Orthodontist 503-562-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |