| NPI | 1063921823 |
|---|---|
| Doing Business As | LAURELHURST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BAO V PHAM Owner 503-233-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D8162) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |