| NPI | 1851636005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LEE MATTFELD Owner /Independant Dental Hygienst 971-231-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR h4964) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-12-09 |