| NPI | 1871768853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES RIES Dentist/Owner 503-665-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 6196) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |