| NPI | 1972857746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO C LOPEZ President 503-245-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OR D9228) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |