| NPI | 1225326697 |
|---|---|
| Doing Business As | SUMMIT DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADLEY HAGEDORN President 503-644-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |