| 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 |