| NPI | 1134575004 |
|---|---|
| Doing Business As | CLACKAMAS SMILES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY C SUESS President 503-786-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: OR D9491) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |