| 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 |