| NPI | 1114564697 |
|---|---|
| Doing Business As | GOERTZ FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACOB GOERTZ Owner 503-860-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |