| NPI | 1841529823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE HAI TRAN VAN President 503-533-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D7871) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |