| NPI | 1952516551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN ENAYATI Owner Dentist 503-533-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: OR D7039) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |