| NPI | 1770382814 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BILL DISCHINGER Owner 503-710-1489 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Enumeration Date | 2025-03-11 | 
| Last Update Date | 2025-03-11 |