| NPI | 1962948943 |
|---|---|
| Doing Business As | ADVANCED SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | JAMES B NELSON Doctor 503-472-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6188) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |