NPI | 1891952982 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA PATRICIA PELLEY P.C., Pediatric Dentist 503-235-0313 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OR D8889) |
Enumeration Date | 2008-05-17 |
Last Update Date | 2012-09-27 |