| NPI | 1780851105 |
|---|---|
| Other Name | DA COSTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRUNO CRISTALLI DA COSTA Owner/President 503-639-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8550) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |