| NPI | 1104885698 |
|---|---|
| Doing Business As | GERIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PAMELA A LINDER Exec Director 503-772-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D7301) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |