| NPI | 1124343215 |
|---|---|
| Doing Business As | PROVIDENCE CHILD CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN BUDO Operations Administrator 503-215-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |