| NPI | 1063993749 |
|---|---|
| Doing Business As | ROOTS DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH Manager 503-912-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9728) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-09-20 |