| NPI | 1972770097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J CAVANO Dentist 503-292-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D7977) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |