NPI | 1770905879 |
---|---|
Entity Type | Organization |
Authorized Contact | ELINA BUDREVICH Dental Hygienist 503-533-1755 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR H5086) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2014-01-09 |