NPI | 1063726644 |
---|---|
Other Name | CORNELL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | RANDALL N FREED Owner/Dentist 503-646-9687 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 5171) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2010-08-05 |