NPI | 1043581465 |
---|---|
Doing Business As | RIVERPLACE PERIODONTICS |
Entity Type | Organization |
Authorized Contact | DUY ANH TRAN Periodontist 503-654-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR D7360) |
Enumeration Date | 2012-01-17 |
Last Update Date | 2015-05-04 |