| NPI | 1043869191 |
|---|---|
| Doing Business As | ACORN DENTISTRY FOR KIDS - WEST SALEM |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARDSON Owner 503-874-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |