| NPI | 1194983171 |
|---|---|
| Doing Business As | TUALATIN COSMETIC & FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM GEHLEN President 503-692-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D4430) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |