| 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 |