NPI | 1821256827 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MARGUERITE GREENE Dentist 503-666-2515 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D8789) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D8881) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-05-27 |