| NPI | 1174657217 |
|---|---|
| Doing Business As | BULL MOUNTAIN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DIMITRIOS JOHN VARELDZIS President 503-639-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D6471) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |