| NPI | 1003181223 |
|---|---|
| Doing Business As | SUNDBERG CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN JON SUNDBERG Vice President 503-546-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D7735) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |