| NPI | 1780857953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA POPESCU Secretary 503-786-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7501) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |