| NPI | 1811262306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SCHWINDT Owner 503-620-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D7966) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |