NPI | 1174998611 |
---|---|
Doing Business As | PORTLAND DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES URIAH HARTMAN Owner 503-311-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d9319) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |