NPI | 1174997142 |
---|---|
Doing Business As | WIKLE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | AARON WIKLE Registered Agent/Member/Manager 503-726-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9575) |
Enumeration Date | 2015-11-13 |
Last Update Date | 2015-11-13 |