| NPI | 1801216130 |
|---|---|
| Former Legal Business Name | ROBERT D. GREW DMD |
| Entity Type | Organization |
| Authorized Contact | ROBERT D. GREW Owner 503-653-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |