| NPI | 1104185560 |
|---|---|
| Doing Business As | CEDAR CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CINDY KNUTSEN Office Admin 503-646-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OR 5228) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |