NPI | 1093187312 |
---|---|
Doing Business As | MAXUS DENTAL |
Entity Type | Organization |
Authorized Contact | NATHAN STEPHEN DOYEL Member 503-334-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR D7348) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2015-10-26 |