| NPI | 1801183488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STAFFORD Dentist/Owner 503-626-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9074) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-07 |