| NPI | 1831406230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARK BUXTON Orthodontist 503-924-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D7970) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |