| NPI | 1972333565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JUDD Dentist Anesthesiologist 503-679-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |