| NPI | 1750613519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SANDS Accounts Manager 503-698-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR 6725) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |