NPI | 1093081606 |
---|---|
Doing Business As | ROANE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW A ROANE Owner/Dentist 503-657-1215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9064) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2012-03-28 |