| NPI | 1063234722 |
|---|---|
| Doing Business As | TIGARD PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PETER DOUGLAS Owner 712-560-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |