| NPI | 1750714911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE FEDE Owner/Dentist 503-459-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD3185) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |