| NPI | 1760728786 |
|---|---|
| Doing Business As | GRESHAM MODERN DENTISTRY, PC |
| Entity Type | Organization |
| Authorized Contact | RICHARD I ASHTON II Owner Doctor 503-491-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-12-31 |