| NPI | 1912449810 | 
|---|---|
| Other Name | VALLEY RIVER DENTAL OFFICE | 
| Entity Type | Organization | 
| Authorized Contact | KENNETH R WRIGHT VP Dental Care Services 503-813-4660 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2016-11-08 | 
| Last Update Date | 2021-06-01 |