| NPI | 1992711022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MICHELLE BOZSO Dental Hygienist 503-588-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H4906) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-06-01 |