| NPI | 1962619874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARI SAMANI Part Owner 503-885-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6992) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |