NPI | 1104138494 |
---|---|
Doing Business As | BEADNELL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MELISSA MARIE HUTTON-BEADNELL Dentist 503-244-4837 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR D9189) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2010-07-02 |