| NPI | 1003115676 |
|---|---|
| Doing Business As | NORTHEAST FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN HARLEY WORTHINGTON President 503-281-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D9182) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |