| NPI | 1952761041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAI T. PHAM Owner 503-642-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OR D8775) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |