| NPI | 1154672897 |
|---|---|
| Doing Business As | CEDAR CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CRISTINA L RUST Owner 503-646-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D-9483) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |