| NPI | 1215598263 |
|---|---|
| Doing Business As | MOUNTAINSIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY EL YOUSSEF Owner/Dentist 503-916-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |