NPI | 1780072751 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE LOPEZ Financial Coordinator 503-223-7682 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 4969) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2016-03-18 |